Palanisamy Rathinasamy, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0046555 Issued in FL

Practice address

205 S.Moon Ave, Suite 102
Brandon, FL 33511-5716

Phone

(813) 681-4644

Fax

(813) 654-4486

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

General Surgery

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hyperbaric and Woundcare IncGroup PAC ID 1052311560, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Making Memories Home Health Inc Home health agency, Tampa, FL, CCN 687219
• AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hyperbaric & Woundcare Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Tampa, FL
  • NPI 1457308173
  Medicare reassignment Care Compare group NPD
• Hyperbaric & Woundcare Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hazlehurst, GA
  • NPI 1780105296
  NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Making Memories Home Health Inc

  • Home Health Agency
  • Tampa, FL
  • NPI 1750046231
  Care Compare affiliation
• University Community Hospital, Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1427068345
  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1952487787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S.MOON AVE, SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S.MOON AVE, SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHINASAMY",
        "first_name": "PALANISAMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0046555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "01110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "204455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "30840",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040231100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R.MEDICARE",
            "identifier": "020006402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5796381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "205115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4111547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "0571459001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nelson Manzur Rapalo Perdomo, AA
• Rapha'S House, LLC
• Deborah Raplee, PT, DPT
• Richa Rashmi
• Dilip Rathinasamy, M.D.
• Ryan William Raubolt
• Matthew Rauch, LMHC
• John R. Raulerson, DMD
• Raulerson, Ruscin & Schreier Dental Associates, PA
• Nilesh H Raval

• Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.