Dilip Rathinasamy, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME98257 Issued in FL

Practice address

403 Vonderburg Dr
Brandon, FL 33511-5982

Phone

(813) 681-1122

Fax

(813) 684-4924

NPI assigned

May 8, 2007

Last updated

Sep 11, 2020By the provider in NPPES

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

Electronic endpoints 3

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

Ophthalmology

Education

University of South Florida College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

96.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: drathinasamy@floridaeye.intellechartdirect.net

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.

• Gregory L Henderson MD Facs Inc

  dba Florida Eye Specialists and Cataract Institute

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1306839725
  Medicare reassignment Care Compare group NPD
• Advanced Care Eye Center Limited Liability Company

  dba Advanced Eyecare Institute

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1477745552
  Authorized official Same address or phone
• Gregory L Henderson MD Facs Inc

  • Optometrist
  • Ruskin, FL
  • NPI 1306830799

  Ophthalmology

  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1952139347
  NPD
• Gregory L Henderson MD Facs Inc

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1144214552
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1750594628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S BUNGALOW PARK AVE",
            "address_2": "UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093159",
            "telephone_number": "813-878-2020",
            "fax_number": "813-249-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 N Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335703769",
            "country_code": "US",
            "telephone_number": "813-645-3831",
            "fax_number": "813-645-4402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094617",
            "country_code": "US",
            "telephone_number": "813-492-2020",
            "fax_number": "813-492-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 S Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115228",
            "country_code": "US",
            "telephone_number": "813-876-2020",
            "fax_number": "813-249-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHINASAMY",
        "first_name": "DILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME98257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drathinasamy@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drathinasamy@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "612 N Tamiami Trl",
            "city": "Ruskin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335703769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drathinasamy@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3115 W Swann Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336094617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ezekiel Rankin
• Nelson Manzur Rapalo Perdomo, AA
• Rapha's House, LLC
• Deborah Raplee, PT, DPT
• Richa Rashmi
• Palanisamy Rathinasamy, MD
• Ryan William Raubolt
• Matthew Rauch, LMHC
• John R. Raulerson, DMD
• Raulerson, Ruscin & Schreier Dental Associates, PA

• Ophthalmology Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.