Individual provider Active NPI

Roberto J. Ycaza, M.D.

  • Interventional Pain Medicine Physician
  • Bradenton, FL
National Provider Identifier
1437110236
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME66839 Issued in FL
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

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
271586400MedicaidFL
201862196OtherFLTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000295 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2264339936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

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 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Vulnerati, LLC Current Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Oct 1, 2024 Accepting new patients
Mobile Anesthesia Associates LLC Interventional Pain Medicine CurrentSince Oct 1, 2024 Accepting new patients
Vigafra PLLC Interventional Pain Medicine CurrentSince Nov 8, 2004 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

  • Direct secure messaging: roberto.ycaza.1@30104.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5077/brand/3/csg/61/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.