Individual provider Active NPI

Gary Ronay, M.D.

  • Specialist
  • Brandon, FL
National Provider Identifier
1871558098
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0046249 Issued in FL
Practice address
503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984
Phone
(813) 684-7707
Fax
(813) 653-4584
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0046249 FL Primary

Addresses

Primary practice location

503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984

Mailing address

503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984
Phone (813) 684-7707

Other identifiers 2

IdentifierTypeStateIssuer
041826900MedicaidFL
30805OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001102 FL Practitioner - Urology 5799859401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046249FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Radiation Oncology, PA CurrentSince Oct 1, 2018 Accepting new patients

Locations

4031 Upper Creek Dr
Sun City Ctr, FL 33573
Phone (813) 633-2733

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1871558098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EICHENFELD DR",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115984",
            "telephone_number": "813-684-7707",
            "fax_number": "813-653-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EICHENFELD DR",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115984",
            "telephone_number": "813-684-7707",
            "fax_number": "813-653-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAY",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0046249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041826900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30805",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.