Individual provider Active NPI

Anita R Shane, M.D.

  • Ophthalmology Physician
  • Venice, FL
National Provider Identifier
1992998207
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME106689 Issued in FL
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

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000623 FL Practitioner - Ophthalmology 7719179191 Reassigns benefits to 1 organization

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
Retina Care Consultants PAGroup PAC ID 2264680768, 6 clinicians

Practice addresses (Care Compare)

2401 University Pkwy
Sarasota, FL 34243-2973
Phone (941) 351-1200

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106689FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Retina, P.a. Ophthalmology CurrentSince Nov 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.