SK Retina – Retina Specialist (Ophthalmology) Physician, NPI 1194170779
Retina Specialist (Ophthalmology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SK Retina
3400 S TAMIAMI TRL STE 101
SARASOTA, FL 342396024
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Mailing
3400 S TAMIAMI TRL
STE 101
SARASOTA, FL 34239
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Location
1700 S TUTTLE AVE
SARASOTA, FL 342393110
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Mailing
111 San Marco Dr
Venice, FL 342853230
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Location
3131 S Tamiami Trl Ste 201
Sarasota, FL 342395101
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Location
5601 21st Ave W Ste A
Bradenton, FL 342095642
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Location
426 Manatee Ave W
Bradenton, FL 342058845
Phone: (941) 777-5000
Fax: (941) 870-9002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (927 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161117002638 | O | Clinic/Group Practice | FL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34239)
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