Individual provider Active NPI

Priya Rathan, M.D

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1689790487
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99930 Issued in FL
Practice address
14505 University Point PL
Tampa, FL 33613-5424
Phone
(813) 971-8500
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99930 FL Primary

Addresses

Primary practice location

14505 University Point PL
Tampa, FL 33613-5424

Mailing address

1002B S Church Ave
#18601
Tampa, FL 33679-9001
Phone (813) 395-0096

Other identifiers 2

IdentifierTypeStateIssuer
002975800MedicaidFL
003249000MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000523 FL Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Family PracticePractitioner - General Surgery 2264600477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4555 S Manhattan Ave
Tampa, FL 33611-2305
Phone (813) 839-6341

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Aviata at the Bay Nursing home, Tampa, FL, CCN 105417
  • Vivo Healthcare Gandy Nursing home, Tampa, FL, CCN 105491
  • Rehabilitation and Healthcare Center of Tampa Nursing home, Tampa, FL, CCN 105234
  • Abbey Rehabilitation and Nursing Center Nursing home, Saint Petersburg, FL, CCN 105749

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
Tampa General Hospital Current Accepting new patients
Tampa Bay Hospitalists, LLC CurrentSince Nov 17, 2010 Accepting new patients
Joan Carter M.D., P.a. Family Medicine Past Accepting new patients

Locations

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

4610 S Manhattan Ave
Tampa, FL 33611
Phone (813) 752-7000

1002B S Church Ave
Unit 18601
Tampa, FL 33679

14505 University Point Pl
Tampa, FL 33613
Phone (813) 971-8500

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: prathan8602@direct.tgh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1689790487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002B S CHURCH AVE",
            "address_2": "#18601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336799001",
            "telephone_number": "813-395-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 UNIVERSITY POINT PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135424",
            "telephone_number": "813-971-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHAN",
        "first_name": "PRIYA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002975800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003249000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.