Active NPI
Anita R Shane, M.D.
- Ophthalmology Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME106689
- Practice address
- 871 Venetia Bay Blvd Ste 115
Venice, FL 34285-8049 - Phone
- (941) 202-1900
- Fax
- (941) 786-3358
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME106689 | FL | Primary |
Addresses
Primary practice location
871 Venetia Bay Blvd Ste 115
Venice, FL 34285-8049
Mailing address
871 Venetia Bay Blvd Ste 115
Venice, FL 34285-8049
Phone (941) 202-1900
Other names 1
- Anita R Shirodkar
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2401 University Pkwy
Sarasota, FL 34243-2973
Phone (941) 351-1200
Hospital & facility affiliations
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.86 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106689 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shane Retina, P.a. | Ophthalmology | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients |
Locations
3906 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 351-1200
2401 University Pkwy
Ste 205
Sarasota, FL 34243
Phone (941) 351-1200
871 Venetia Bay Blvd
Ste 115
Venice, FL 34285
Phone (941) 202-1900
Interoperability endpoints
- ashane@retinacareflorida.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Sarasota, FL
- NPI 1518213602
-
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1992998207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 VENETIA BAY BLVD STE 115",
"city": "VENICE",
"state": "FL",
"postal_code": "342858049",
"telephone_number": "941-202-1900",
"fax_number": "941-786-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 VENETIA BAY BLVD STE 115",
"city": "VENICE",
"state": "FL",
"postal_code": "342858049",
"telephone_number": "941-202-1900",
"fax_number": "941-786-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANE",
"first_name": "ANITA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME106689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "SHIRODKAR",
"middle_name": "R",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.