Individual provider Active NPI

John D Ritrosky, M.D.

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1568578151
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME63203 Issued in FL
Practice address
13981 McGregor Blvd
Suite 101
Fort Myers, FL 33919-6130
Phone
(239) 275-8898
Fax
(239) 275-9933
NPI assigned
Aug 23, 2006
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME63203 FL Primary

Addresses

Primary practice location

13981 McGregor Blvd
Suite 101
Fort Myers, FL 33919-6130

Mailing address

13981 McGregor Blvd
Suite 101
Fort Myers, FL 33919-6130
Phone (239) 275-8898

Other identifiers 1

IdentifierTypeStateIssuer
650732066OtherFLTAX ID

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
I20090505000154 FL Practitioner - Plastic and Reconstructive Surgery 4688722440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Florida College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13981 McGregor Blvd
Fort Myers, FL 33919-6130
Phone (239) 275-8898

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision508
Removal of tissue1-10
Removal of skin lesions84
Skin biopsy124

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John D Ritrosky MD PA Specialist CurrentSince Mar 1, 2009 Accepting new patients
Pacaya Bay Surgery Center LLC CurrentSince Apr 27, 2009 Accepting new patients
Kathleen Stigar Crna LLC Past Accepting new patients
World Plaza Surgery LLC Past Accepting new patients

Locations

13981 McGregor Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 275-8898

13981 McGregor Blvd
Ste 102
Fort Myers, FL 33919
Phone (239) 275-4505

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1568578151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13981 MCGREGOR BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196130",
            "telephone_number": "239-275-8898",
            "fax_number": "239-275-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13981 MCGREGOR BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196130",
            "telephone_number": "239-275-8898",
            "fax_number": "239-275-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITROSKY",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME63203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650732066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.