Individual provider Active NPI

Raymond E De la Rosa, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Sarasota, FL
National Provider Identifier
1083667984
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME132402 Issued in FL
Practice address
8383 S Tamiami TRL Unit 115
Sarasota, FL 34238-2901
Phone
(941) 841-4206
Fax
(941) 841-4209
NPI assigned
May 19, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X EMC0009215 MI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME132402 FL Primary

Addresses

Primary practice location

8383 S Tamiami TRL Unit 115
Sarasota, FL 34238-2901

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

363 Fremont St Ste 307
Battle Creek, MI 49017-3391
Phone (269) 245-8190

Other identifiers 2

IdentifierTypeStateIssuer
64309180MedicaidKY
30918OtherKYSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171019000755 FL Practitioner - Endocrinology 9537134861 Reassigns benefits to 2 organizations
I20190625002107 OR Practitioner - Internal Medicine 9537134861 Reassigns benefits to 5 organizations
I20260515001521 MI Practitioner - Endocrinology 9537134861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770

150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476

171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407

177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100

8383 S Tamiami TRL
Sarasota, FL 34238-2901
Phone (941) 244-9430

900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMC0009215MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jan 1, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jun 17, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 17, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 8, 2019 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 17, 2019 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 8, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Jun 17, 2019 Accepting new patients
Millennium Physician Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2020 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Bronson Battle Creek Hospital Past Accepting new patients
Shawnee Mission Medical Center Past Accepting new patients
Bronson Battle Creek Hospital Past Accepting new patients
Kidney Specialists of Paducah PLLC PastSince Dec 1, 2018 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

3000 S McCall Rd
Englewood, FL 34224
Phone (941) 406-9029

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2415 University Pkwy
Ste 111
Sarasota, FL 34243
Phone (941) 351-2020

8383 S Tamiami Trl
Unit 115
Sarasota, FL 34238
Phone (941) 244-9430

508 S 6th Ave
Wauchula, FL 33873
Phone (863) 473-4733

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3615 NW Samaritan Dr
Ste G2
Corvallis, OR 97330
Phone (541) 768-7900

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: raymond.de.la.rosa.1@4290.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1083667984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 S TAMIAMI TRL UNIT 115",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382901",
            "telephone_number": "941-841-4206",
            "fax_number": "941-841-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Fremont St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173391",
            "country_code": "US",
            "telephone_number": "269-245-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "EMC0009215",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME132402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64309180",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "30918",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.