Individual provider Active NPI

Tyann Floore-Klein

  • Diagnostic Radiology Physician
  • Sarasota, FL
National Provider Identifier
1851753073
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS21073 Issued in FL
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone
(941) 917-7322
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102207280 VA
Diagnostic Radiology Physician 2085R0202X 2021-01322 NC
Student in an Organized Health Care Education/Training Program 390200000X LL39782 SC
Diagnostic Radiology Physician 2085R0202X OS21073 FL Primary

Addresses

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Mailing address

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220808002307 SC Practitioner - Diagnostic Radiology 4587950043
I20220809000099 VA Practitioner - Diagnostic Radiology 4587950043
I20240829000547 FL Practitioner - Diagnostic Radiology 4587950043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

1921 Waldemere St
101 Waldemere Medical Plaza
Sarasota, FL 34239-2943
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21073FLMDDiagnostic Radiology Physician
0102207280VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince Jul 25, 2022 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Jul 25, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Sep 11, 2024 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2881 Hyde Park St
Sarasota, FL 34239
Phone (941) 366-2460

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

150 Parkway Office Ct
Ste 100
Cary, NC 27518

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Organizations & group practices 5

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 2

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1851753073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOORE-KLEIN",
        "first_name": "TYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102207280",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-01322",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "LL39782",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS21073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.