Active NPI
Richard Rizzuto, MD
- Plastic and Reconstructive Surgery Physician
- Bradenton, FL
National Provider Identifier
1932178118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME85272
- Practice address
- 3938 State Road 64 East
Bradenton, FL 34208-9059 - Phone
- (941) 746-5900
- Fax
- (941) 746-5922
- NPI assigned
- Mar 17, 2006
- Last updated
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME85272 | FL | Primary |
Addresses
Primary practice location
3938 State Road 64 East
Bradenton, FL 34208-9059
Mailing address
3938 State Road 64 East
Bradenton, FL 34208-9059
Phone (941) 746-5900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01600 | Other | FL | BLUE CROSS BLUE SHIELD |
| 2581793 | Other | FL | UNITED HEALTH CARE |
| 276385100 | Medicaid | FL | |
| 7772682 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85272 | FL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1932178118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3938 STATE ROAD 64 EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089059",
"telephone_number": "941-746-5900",
"fax_number": "941-746-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 STATE ROAD 64 EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089059",
"telephone_number": "941-746-5900",
"fax_number": "941-746-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZUTO",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME85272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2581793",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276385100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7772682",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
- Riverside Speech & Language
- Riverside Speech & Language LLC
- Riverview Cardiac Surgery PA (Riverview Cardiac Surgery)
- Riverwalk Ambulatory Surgery Center LLC
- Anthony J Rizzo, MD
- Jennie Lynne Robb, PH.D.
- Robert a Stipanov DDS PA
- Robert B. Koser, M.D.P.a.
- Robert C Sanford Arnp PL (Wound Solutions)
- Robert J Bellino M D P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.