Individual provider Active NPI

Orlando L Ruano, DO

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1013021138
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS8484 Issued in FL
Practice address
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone
(813) 974-8900
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS8484 FL Primary

Addresses

Primary practice location

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742

Mailing address

PO Box 917770
Orlando, FL 32891-7770

Other identifiers 1

IdentifierTypeStateIssuer
46674OtherFLBLUE CROSS BLUE SHIELD

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
I20040820000868 FL Practitioner - Psychiatry 0749254225 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Mental Health, LLCGroup PAC ID 4981094620, 2 clinicians
Mary Welsh Foundation, IncGroup PAC ID 2365700259, 4 clinicians

Practice addresses (Care Compare)

3105 W Waters Ave
Suite 102
Tampa, FL 33614-2869
Phone (813) 269-2920

3820 Gunn Hwy
Suite 100
Tampa, FL 33618-8720
Phone (813) 442-7505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panamerican Behavioral Health Services of Florida LLC CurrentSince Jun 2, 2024 Accepting new patients
Tampa Bay Mental Health, LLC CurrentSince Sep 8, 2021 Accepting new patients
Robin Foster LMHC LLC CurrentSince May 1, 2024 Accepting new patients
Mary Welsh Foundation, Inc. CurrentSince May 1, 2024 Accepting new patients
Medical Prestige Services Corp Psychiatry Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Psych Me Health Services Inc Psychiatry Past Accepting new patients
Medical & Rehab of Hillsborough Inc Past Accepting new patients

Locations

7041 Grand National Dr
Ste 200
Orlando, FL 32819
Phone (407) 982-7718

3105 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 269-2920

3105 W Waters Ave
Ste 107
Tampa, FL 33614

3105 W Waters Ave
Ste 212
Tampa, FL 33614
Phone (813) 269-2920

3820 Gunn Hwy
Ste 100
Tampa, FL 33618
Phone (813) 840-4304

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: orlando.ruano@738454811246596.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1013021138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124742",
            "telephone_number": "813-974-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUANO",
        "first_name": "ORLANDO",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS8484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.