Isadore Tarantino

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2021034044 Issued in MO

Practice address

5204 N Belt Hwy
Saint Joseph, MO 64506-1211

Phone

(913) 303-7377

Fax

(816) 233-3983

NPI assigned

Mar 23, 2016

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Izzy Tarantino Other name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Dermatology

Education

University of Missouri, Kansas City, School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Valley Memorial Hospital DistrictGroup PAC ID 4688561814, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHJIBA
• Direct secure messaging: itarantino333254@directhoustonmethodist.org

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.

• Golden Valley Memorial Hospital District

  dba Golden Valley Medical - Clinton

  • Rural Health Clinic/Center
  • Clinton, MO
  • NPI 1003873266
  Medicare reassignment Care Compare group NPD
• Precision Dermatology and Skin Cancer Center LLC

  • Dermatology Physician
  • Prairie Village, KS
  • NPI 1427844216
  Medicare reassignment NPD Authorized official
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  Medicare reassignment NPD
• Advanced Dermatologic Surgery, P.a.

  dba Advanced Dermatologic Surgery

  • MOHS-Micrographic Surgery Physician
  • Overland Park, KS
  • NPI 1003016312
  Medicare reassignment NPD
• Golden Valley Memorial Hospital District

  dba GVMH Medical East

  • Clinic/Center
  • Clinton, MO
  • NPI 1396379830
  NPD
• Golden Valley Memorial Hospital District

  dba Golden Valley Medical - Warsaw

  • Rural Health Clinic/Center
  • Warsaw, MO
  • NPI 1366490971
  NPD (past)
• Ads Healthcare LLC

  dba ADS Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1649376757
  NPD (past)

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

• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  Care Compare affiliation

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1689036261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "913-303-7377",
            "fax_number": "816-233-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "913-303-7377",
            "fax_number": "816-233-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 W 121st St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662092007",
            "country_code": "US",
            "telephone_number": "913-303-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "ISADORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2021034044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZZY",
            "last_name": "TARANTINO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ruju Talati
• Tally Health Services LLC
• Amy A Tally, PMHNP
• Lung Kang Tan, D.P.M.
• Christian Dale Tanner, FNP-C
• Tas Care Inc.
• Alana Sue Taylor, FNP-C
• Della V Taylor, APRN-BC
• Mason Taylor
• Richard Reynolds Taylor, M.S.

• Dermatology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.