Individual provider Active NPI

Ayah Toufick Etyem

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1437737384
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115637 Issued in FL
Practice address
2401 University Pkwy Ste 205
Sarasota, FL 34243-2973
Phone
(941) 351-1200
Fax
(941) 351-1201
NPI assigned
Mar 31, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9115637 FL Primary

Addresses

Primary practice location

2401 University Pkwy Ste 205
Sarasota, FL 34243-2973

Mailing address

2401 University Pkwy Ste 205
Sarasota, FL 34243-2973
Phone (941) 351-1200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228001996 FL Practitioner - Physician Assistant 9335533777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Care Consultants PAGroup PAC ID 2264680768, 6 clinicians

Practice addresses (Care Compare)

2401 University Pkwy
Sarasota, FL 34243-2973
Phone (941) 351-1200

3906 S Tamiami TRL
Sarasota, FL 34231-3622
Phone (941) 351-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115637FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: aetyem@retinacareflorida.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1437737384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-351-1200",
            "fax_number": "941-351-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-351-1200",
            "fax_number": "941-351-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETYEM",
        "first_name": "AYAH",
        "middle_name": "TOUFICK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.