Individual provider Active NPI

Roy Gan, MD

  • Anesthesiology Physician
  • Hudson, FL
National Provider Identifier
1851353270
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME86979 Issued in FL
Practice address
14000 Fivay Rd
Hudson, FL 34667
Phone
(727) 861-5155
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME86979 FL Primary

Addresses

Primary practice location

14000 Fivay Rd
Hudson, FL 34667

Mailing address

1 Tampa General Circle
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-7677

Other identifiers 1

IdentifierTypeStateIssuer
267357600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20120220000668 NY Practitioner - Anesthesiology 9436189065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Medical Services PCGroup PAC ID 0143583724, 2 clinicians
Jose L. Lantin, MD, PCGroup PAC ID 1355417783, 4 clinicians

Practice addresses (Care Compare)

421 78TH St
Suite D
Brooklyn, NY 11209-3447
Phone (718) 491-0706

970 N Broadway
Suite 305 B
Yonkers, NY 10701-1309
Phone (914) 375-6400

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
70.04
Promoting interoperability
100
Improvement activities
40
Cost
85.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Services PC Anesthesiology CurrentSince Jun 15, 2021 Accepting new patients
Jose L. Lantin, MD, PC CurrentSince Oct 1, 2014 Accepting new patients
New Jersey Anesthesia/Nbimc L.L.C Anesthesiology PastSince Mar 10, 2000 Accepting new patients
T.Y. Kim, M.D., P.C. Past Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology PastSince May 7, 2023 Accepting new patients
Anesthesiologist Associates PA Anesthesiology Past Accepting new patients
Gastroenterology of Westchester, LLC Past Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Past Accepting new patients

Locations

102 Park Ave
Ste 2
Yonkers, NY 10703
Phone (914) 391-1274

970 N Broadway
Ste 305B
Yonkers, NY 10701
Phone (914) 207-1161

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1851353270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIRCLE",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7677",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-861-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAN",
        "first_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME86979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267357600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.