Individual provider Active NPI

Raymond J Mis

  • Gastroenterology Physician
  • The Villages, FL
National Provider Identifier
1023014735
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO15999 Issued in FL
Practice address
1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone
(352) 674-8700
NPI assigned
Jun 27, 2005
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO00442 RI
Gastroenterology Physician 207RG0100X DO15999 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8700

Other practice location 1

2955 Brownwood Blvd
The Villages, FL 32163-2039
Phone (352) 674-8714

Other identifiers 1

IdentifierTypeStateIssuer
9003105MedicaidRI

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
I20190612000907 FL Practitioner - Gastroenterology 7911924485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of New England, College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 810
The Villages, FL 32159-8987
Phone (352) 674-8731

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
91.57
Promoting interoperability
100
Improvement activities
40
Cost
85.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO15999FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
The Villages Health System LLC CurrentSince Jul 1, 2019 Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

1400 N US Highway 441
Ste 810
The Villages, FL 32159
Phone (352) 674-8700

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

2910 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-1790

2955 Brownwood Blvd
The Villages, FL 32163
Phone (352) 674-8700

2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 633-7222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: raymond.mis.1@18324.direct.athenahealth.com
  • Direct secure messaging: rmis562681@direct.shands.ufl.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1023014735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 810",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-674-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Brownwood Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632039",
            "country_code": "US",
            "telephone_number": "352-674-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIS",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "DO00442",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "DO15999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003105",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.