Active NPI
Roberto J. Ycaza, M.D.
- Interventional Pain Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME66839
- Practice address
- 2105 Manatee Ave E
Bradenton, FL 34208-1640 - Phone
- (941) 803-8395
- Fax
- (941) 803-8158
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME66839 | FL | Primary |
Addresses
Primary practice location
2105 Manatee Ave E
Bradenton, FL 34208-1640
Mailing address
2105 Manatee Ave E
Bradenton, FL 34208-1640
Phone (941) 803-8395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271586400 | Medicaid | FL | |
| 201862196 | Other | FL | TAX IDENTIFICATION |
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
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Manatee Ave E
Suite 103
Bradenton, FL 34208-1620
Phone (866) 724-6807
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 63.63
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vulnerati, LLC | Current | Accepting new patients | |
| Baptist Surgery and Endoscopy Centers LLC | Current | Accepting new patients | |
| Mobile Anesthesia Associates LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Vigafra PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Tampa Bay Orthopaedic Specialists | Past | Accepting new patients | |
| Florida Musculoskeletal Surgical Group LLC | Past | Accepting new patients | |
| Anesthesia and Pain Physicians of Florida, PA | Past | Accepting new patients | |
| Bayou Anesthesia and Pain Management Associates PA | Interventional Pain Medicine | Past | Accepting new patients |
Locations
200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434
2001 Manatee Ave E
Ste 103
Bradenton, FL 34208
Phone (941) 757-3521
2105 Manatee Ave E
Bradenton, FL 34208
Phone (941) 745-7394
8340 Lakewood Ranch Blvd
Ste 330
Lakewood Ranch, FL 34202
Phone (941) 907-1113
2371 US Highway 27 S
Sebring, FL 33870
Phone (863) 402-5475
115 W Bay St
Wauchula, FL 33873
Phone (863) 773-3785
325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- roberto.ycaza.1@30104.direct.athenahealth.com
- https://api.platform.athenahealth.com/5077/brand/3/csg/61/fhir/r4
- roberto.ycaza.1@11607.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1295776243
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Bradenton, FL
- NPI 1316154958
-
- Ambulatory Surgical Clinic/Center
- West Palm Beach, FL
- NPI 1407227358
-
- Clinic/Center
- Bradenton, FL
- NPI 1699548578
-
- Specialist
- Bradenton, FL
- NPI 1982815080
-
- Pain Medicine Physician
- Pinellas Park, FL
- NPI 1801889522
Interventional Pain Medicine
-
- Orthopaedic Surgery Physician
- St Petersburg, FL
- NPI 1073850160
-
- Orthopaedic Surgery Physician
- Pinellas Park, FL
- NPI 1255313425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1437110236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081640",
"telephone_number": "941-803-8395",
"fax_number": "941-803-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 MANATEE AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081640",
"telephone_number": "941-803-8395",
"fax_number": "941-803-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YCAZA",
"first_name": "ROBERTO",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME66839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271586400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "201862196",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.