Individual provider Active NPI

Moonasar P Rampertaap, MD

  • Specialist
  • Bradenton, FL
National Provider Identifier
1558439083
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
203 3Rd Ave E
Bradenton, FL 34208-1013
Phone
(941) 741-8633
Fax
(941) 741-8332
NPI assigned
Dec 1, 2006
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

203 3Rd Ave E
Bradenton, FL 34208-1013

Mailing address

203 3Rd Ave E
Bradenton, FL 34208-1013
Phone (941) 741-8633

Other identifiers 2

IdentifierTypeStateIssuer
650151746OtherFLTAX ID
039992200MedicaidFL

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
I20090220000414 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4385605229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 3Rd Ave E
Bradenton, FL 34208-1013
Phone (941) 741-8633

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Associates PA Specialist CurrentSince Aug 22, 1995 Accepting new patients

Locations

203 3rd Ave E
Bradenton, FL 34208
Phone (941) 741-8633

4002 Sun City Center Blvd
Unit 101
Sun City Ctr, FL 33573
Phone (813) 672-2243

4002 Sun City Center Blvd
Unit A
Sun City Ctr, FL 33573
Phone (813) 634-3306

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHIAA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1558439083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "941-741-8633",
            "fax_number": "941-741-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "941-741-8633",
            "fax_number": "941-741-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERTAAP",
        "first_name": "MOONASAR",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650151746",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039992200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.