Individual provider Active NPI

Walid F Tanyous, M.D.

  • Pulmonary Disease Physician
  • Venice, FL
National Provider Identifier
1366670408
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME126550 Issued in FL
Practice address
435 Commercial CT
Venice, FL 34292-1658
Phone
(941) 559-0262
Fax
(941) 375-8569
NPI assigned
Jun 28, 2009
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME126550 FL
Pulmonary Disease Physician 207RP1001X ME126550 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME126550 FL

Addresses

Primary practice location

435 Commercial CT
Venice, FL 34292-1658

Mailing address

425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966

Other identifiers 1

IdentifierTypeStateIssuer
018192100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address walid.tanyous.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206000941 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2062792203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Medical Associates PAGroup PAC ID 6800803289, 19 clinicians

Practice addresses (Care Compare)

425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966

435 Commercial CT
Venice, FL 34292-1658
Phone (941) 559-0262

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME126550FLMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Medical Associates PA CurrentSince Feb 20, 2023 Accepting new patients
Arcadia Medical Associates PA Pulmonary Disease CurrentSince Feb 20, 2023 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

425 Nursing Home Dr
Ste 2
Arcadia, FL 34266

435 Commercial Ct
Venice, FL 34292
Phone (941) 484-2602

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: walid.tanyous.1@4692.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1366670408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NURSING HOME DR",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663839",
            "telephone_number": "863-993-2966",
            "fax_number": "863-494-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 COMMERCIAL CT",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921658",
            "telephone_number": "941-559-0262",
            "fax_number": "941-375-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANYOUS",
        "first_name": "WALID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-28",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME126550",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME126550",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME126550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018192100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "walid.tanyous.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "209 Palermo Pl",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342852821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.