Individual provider Active NPI

James A Tiesi, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
National Provider Identifier
1427015031
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME59348 Issued in FL
Practice address
200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626
Phone
(941) 794-3118
Fax
(941) 782-2017
NPI assigned
Apr 27, 2006
Last updated
Apr 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME59348 FL Primary
Diagnostic Radiology Physician 2085R0202X ME59348 FL
Vascular Surgery Physician 2086S0129X ME59348 FL

Addresses

Primary practice location

200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626

Mailing address

200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626
Phone (941) 794-3118

Other identifiers 2

IdentifierTypeStateIssuer
264537800MedicaidFL
264534300MedicaidFL

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
I20041023000139 FL Practitioner - Neurosurgery 1153382015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurospinal Associates PAGroup PAC ID 1052372919, 3 clinicians

Practice addresses (Care Compare)

200 3Rd W Ave
Suite 200
Bradenton, FL 34205-8633
Phone (941) 794-3118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion63
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59348FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc Diagnostic Radiology CurrentSince Jan 1, 2006 Accepting new patients
Neurospinal Associates PA Neurological Surgery CurrentSince Jan 1, 1996 Accepting new patients

Locations

200 3rd Ave W
Ste 200
Bradenton, FL 34205
Phone (941) 794-3118

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198

Use Ci1660
Orlando, FL 32886

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1427015031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058626",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058626",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIESI",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME59348",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME59348",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME59348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264537800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264534300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.