Individual provider Active NPI

Jason Tse, DO

  • Pain Medicine (Anesthesiology) Physician
  • Sarasota, FL
National Provider Identifier
1376978312
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS15124 Issued in FL
Practice address
2621 Cattlemen Rd Ste 202
Sarasota, FL 34232-6212
Phone
(941) 365-5672
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 270268 MA
Internal Medicine Physician 207R00000X 58.004990 OH
Interventional Pain Medicine Physician 208VP0014X OS15124 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X OS15124 FL Primary

Addresses

Primary practice location

2621 Cattlemen Rd Ste 202
Sarasota, FL 34232-6212

Mailing address

2621 Cattlemen Rd Ste 202
Sarasota, FL 34232-6212
Phone (941) 365-5672

Other practice location 1

1255 City View Ctr
Oviedo, FL 32765-5529
Phone (407) 332-1300

Other identifiers 1

IdentifierTypeStateIssuer
024809400MedicaidFL

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
I20180706001047 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 6901197078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Anesthesiology AssociatesGroup PAC ID 9335102128, 6 clinicians

Practice addresses (Care Compare)

1255 City View Ctr
Oviedo, FL 32765-5529
Phone (407) 332-1300

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
60.12
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.004990OHMDInternal Medicine Physician
OS15124FLMDInterventional Pain Medicine Physician

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jason.tse@painmedgrp.directbygreenway.com
  • Direct secure messaging: westcoastanesthesiologyassociates.jasontse@155443.advancedmd-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1376978312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CATTLEMEN RD STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326212",
            "telephone_number": "941-365-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CATTLEMEN RD STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326212",
            "telephone_number": "941-365-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 City View Ctr",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327655529",
            "country_code": "US",
            "telephone_number": "407-332-1300",
            "fax_number": "407-332-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSE",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-01-19",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "270268",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.004990",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS15124",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS15124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024809400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.