Raphael Alexander Rusynyk, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS8902 Issued in FL

Practice address

141 Mack Bayou Loop Ste 101
Santa Rosa Beach, FL 32459-7194

Phone

(850) 863-5990

Fax

(850) 862-0041

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.01 of 100Reported as group

Quality

62.34

Promoting interoperability

95

Improvement activities

40

Cost

78.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• FL PPO

Interoperability endpoints

• Direct secure messaging: raphael.rusynyk@fdhs.eclinicaldirectplus.com

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.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892

  Gastroenterology

  Medicare reassignment NPD
• Florida Digestive Health Specialists, LLP

  • Gastroenterology Physician
  • Lakewood Ranch, FL
  • NPI 1518267327
  Medicare reassignment NPD
• Baptist Medical Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1629749692
  NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1023047297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417A RACETRACK RD NW STE 2",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474604",
            "telephone_number": "850-863-5990",
            "fax_number": "850-862-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MACK BAYOU LOOP STE 101",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597194",
            "telephone_number": "850-863-5990",
            "fax_number": "850-862-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSYNYK",
        "first_name": "RAPHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS8902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266728200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Rodrigue Jr., PHARM D
• George Norman Roll, PA-C
• Elizabeth Jeanine Rousso, LPC, LMHC
• Ross Jacob Ruder, DDS
• Rural Primary Care South-Walton, Inc.
• Heather Rutkowski, RPH
• Elena Ryazhapova, PHARMD
• Sacred Heart Medical Oncology Group
• Dana Saffel, PHARMD, DPH, CGP
• Julian A Salinas, PHD

• Gastroenterology Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.