Individual provider Active NPI

Trenity Shane McKinney, M.D.

  • Ophthalmology Physician
  • Venice, FL
National Provider Identifier
1629030655
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME93436 Issued in FL
Practice address
1868 Tamiami TRL S
Venice, FL 34293-3160
Phone
(941) 493-9393
Fax
(941) 492-6650
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME93436 FL Primary

Addresses

Primary practice location

1868 Tamiami TRL S
Venice, FL 34293-3160

Mailing address

1868 Tamiami TRL S
Venice, FL 34293-3160
Phone (941) 493-9393

Other identifiers 1

IdentifierTypeStateIssuer
ME93436OtherFLSTATE LISENCE

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
I20051007000625 FL Practitioner - Ophthalmology 4385669407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a. Conroy,M.D.PAGroup PAC ID 9739104019, 3 clinicians

Practice addresses (Care Compare)

1868 Tamiami TRL S
Venice, FL 34293-3160
Phone (941) 493-9393

Merit-based Incentive Payment System (MIPS)

Final score
77.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
23.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery445

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence M Hurvitz, MD PA Ophthalmology PastSince Aug 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trentmckinney@veniceeyedoctors.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629030655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933160",
            "telephone_number": "941-493-9393",
            "fax_number": "941-492-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933160",
            "telephone_number": "941-493-9393",
            "fax_number": "941-492-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TRENITY",
        "middle_name": "SHANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME93436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISENCE",
            "identifier": "ME93436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.