Individual provider Active NPI

James Randall Patrinely, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Pensacola, FL
National Provider Identifier
1932292935
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME49837 Issued in FL
Practice address
17 E Main St Ste 100
Pensacola, FL 32502-5998
Phone
(850) 473-0990
Fax
(850) 473-0790
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME49837 FL Primary

Addresses

Primary practice location

17 E Main St Ste 100
Pensacola, FL 32502-5998

Mailing address

17 E Main St Ste 100
Pensacola, FL 32502-5998
Phone (850) 473-0990

Other identifiers 5

IdentifierTypeStateIssuer
1629161633OtherFLGROUP NPI
0043BMOtherTXMEDICARE GROUP
1235222167OtherTXGROUP NPI
1932292935OtherINDIVIDUAL NPI
85060FOtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100910000540 FL Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3577584689 Reassigns benefits to 1 organization
I20101118000609 TX Practitioner - Ophthalmology 3577584689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 E Main St
Suite 100
Pensacola, FL 32502-5998

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Eye Surgery Associates, PLLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Aug 29, 1982 Accepting new patients

Locations

3730 Kirby Dr
Ste 900
Houston, TX 77098
Phone (713) 522-5355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCHJCD/Endpoint/HCHJCD
  • Direct secure messaging: jpatrinely25955@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHJCD

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1932292935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E MAIN ST STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025998",
            "telephone_number": "850-473-0990",
            "fax_number": "850-473-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E MAIN ST STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025998",
            "telephone_number": "850-473-0990",
            "fax_number": "850-473-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRINELY",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME49837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1629161633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0043BM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1235222167",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932292935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "85060F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.