Organization Active NPI

Alan J Knapp MD PA

  • Ophthalmology Physician
  • Englewood, FL
National Provider Identifier
1689853376
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME45535 Issued in FL
Legal business name
ALAN J KNAPP MD PA
Practice address
900 Pine St Ste 214
Englewood, FL 34223-4458
Phone
(941) 474-2266
Fax
(941) 474-2255
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Alan J Knapp, M.D.NPI 1538277280
Title
President
Phone
(941) 474-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME45535 FL Primary

Addresses

Primary practice location

900 Pine St Ste 214
Englewood, FL 34223-4458

Mailing address

900 Pine St Ste 214
Englewood, FL 34223-4458
Phone (941) 474-2266

Other identifiers 3

IdentifierTypeStateIssuer
0854700002OtherFLCIGNA GOVERNMENT SERVICES
263964500MedicaidFL
DA6578OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051015000058 FL Part B Supplier - Clinic/Group Practice 2567488927 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, FL
O20100930078248 FL DME Supplier - Physician - Ophthalmology 2567488927 Practice locations: Englewood, FL

National Provider Directory

National Provider Directory

Locations

1500 Placida Rd
Ste B2
Englewood, FL 34223
Phone (941) 475-5500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1689853376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 214",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-474-2266",
            "fax_number": "941-474-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 214",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-474-2266",
            "fax_number": "941-474-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN J KNAPP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME45535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0854700002",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263964500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6578",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.