John Wayne Royalty, DO

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

056237 Issued in FL

Practice address

3402 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465-3570

Phone

(352) 563-5488

Fax

(352) 563-6328

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Vascular SurgeryAlso: Thoracic Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249
• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jroyalty297142@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: johnwayneroyalty@f761cb2e.micromddirect.com

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.

• John W Royalty DO PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Beverly Hills, FL
  • NPI 1558420083
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Nature Coast Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Crystal River, FL
  • NPI 1396185526
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citrus Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Tampa General Hospital Citrus LLC

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1649274259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 N LECANTO HWY",
            "address_2": "STE C",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653570",
            "telephone_number": "352-563-5488",
            "fax_number": "352-563-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N LECANTO HWY",
            "address_2": "STE C",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653570",
            "telephone_number": "352-563-5488",
            "fax_number": "352-563-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYALTY",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "056237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372553700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rios Rehab Center LLC
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• Eve Rockhill, CD
• Julie Rosati
• Marvelle Andecia Ross
• Yvonne Ruebusch, PHARMD
• Sai MD Inc
• Ashish Sanon
• Barbara Gail Sansom
• Elizabeth M Scanlon, PHD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.