NPIMap

Organization Active NPI

Sarasota Retina Institute P a

  • Ophthalmology Physician
  • Sarasota, FL
National Provider Identifier
1962427955
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SARASOTA RETINA INSTITUTE P A
Practice address
3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239
Phone
(941) 921-5335
Fax
(941) 921-1741
NPI assigned
Jul 12, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Melvin C Chen, MDNPI 1194772574
Title
President
Phone
(941) 921-5335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239

Mailing address

3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239
Phone (941) 921-5335

Other identifiers 1

IdentifierTypeStateIssuer
268606600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000107 FL Part B Supplier - Clinic/Group Practice 2668368259 Receives reassigned benefits from 7 practitioners
Practice locations: Venice, FL; Sarasota, FL; Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1019930Sarasota Retina Institute3400 Bee Rdige Rd Ste 200, Sarasota, FL 34239Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

1880 59th St W
Bradenton, FL 34209
Phone (941) 792-0511

3400 Bee Ridge Rd
Ste 200
Sarasota, FL 34239
Phone (941) 921-5335

1101 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (941) 484-5158

Interoperability endpoints

  • Direct secure messaging: mchen@sarasotaretinainst.intellechartdirect.net
  • Direct secure messaging: jabrams@sarasotaretinainst.intellechartdirect.net
  • Direct secure messaging: mlevy@sarasotaretinainst.intellechartdirect.net
  • Direct secure messaging: lrivero@sarasotaretinainst.intellechartdirect.net
  • Direct secure messaging: tspoor@sarasotaretinainst.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1962427955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-921-5335",
            "fax_number": "941-921-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BEE RIDGE RD",
            "address_2": "STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-921-5335",
            "fax_number": "941-921-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA RETINA INSTITUTE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-921-5335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268606600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.