Active NPI
Paul A Raskauskas, M.D.
- Retina Specialist (Ophthalmology) Physician
- Ft Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- ME0060400
- Practice address
- 6901 International Center Blvd
Ft Myers, FL 33912-7125 - Phone
- (239) 939-4323
- Fax
- (239) 939-3983
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0060400 | FL | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ME0060400 | FL | Primary |
Addresses
Primary practice location
6901 International Center Blvd
Ft Myers, FL 33912-7125
Mailing address
6901 International Center Blvd
Fort Myers, FL 33912-7125
Phone (239) 939-4323
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180022164 | Other | FL | RAILROAD MEDICARE |
| 054575900 | Medicaid | FL | |
| 374440000 | Medicaid | FL | |
| CA7010 | Other | FL | RAILROAD MEDICARE GROUP |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Duke University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 International Ctr Blvd
Fort Myers, FL 33912-7125
Phone (239) 939-4323
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Vitreous Consultants | Ophthalmology | Current | Accepting new patients |
Locations
950 Glades Rd
Ste 1C
Boca Raton, FL 33431
Phone (305) 294-5504
106 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-4712
6901 International Center Blvd
Fort Myers, FL 33912
Phone (239) 939-4323
6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880
2525 Harbor Blvd
Ste 302
Pt Charlotte, FL 33952
Phone (941) 924-0303
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Ft Lauderdale, FL
- NPI 1699773796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1790744746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 INTERNATIONAL CENTER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339127125",
"telephone_number": "239-939-4323",
"fax_number": "239-939-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 INTERNATIONAL CENTER BLVD",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339127125",
"telephone_number": "239-939-4323",
"fax_number": "239-939-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASKAUSKAS",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0060400",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "ME0060400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180022164",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054575900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374440000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CA7010",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.