Active NPI
Jason Tse, DO
- Pain Medicine (Anesthesiology) Physician
- Sarasota, FL
National Provider Identifier
1376978312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- OS15124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024809400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 58.004990 | OH | MD | Internal Medicine Physician |
| OS15124 | FL | MD | Interventional Pain Medicine Physician |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jason.tse@painmedgrp.directbygreenway.com
- 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.
-
dba Pain Medicine Group
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sarasota, FL
- NPI 1255494803
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.