Raymond Carrelle

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0083026 Issued in FL

Practice address

24810 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134

Phone

(239) 992-4444

Fax

(239) 992-4400

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 6, 2019 through May 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gary M. Price, MD, Facp, PA

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1063747756
  NPD (past)
• Community Care Physicians, PC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1023380714
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1104900034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24810 BURNT PINE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341973",
            "telephone_number": "239-992-4444",
            "fax_number": "239-992-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24810 BURNT PINE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "239-992-4444",
            "fax_number": "239-992-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Troy Schenectady Rd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-713-5347",
            "fax_number": "518-713-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRELLE",
        "first_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218930",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0083026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02164327",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Hand Home Health Services, Inc
• Caring Zees LLC
• Barbara Carley Hulser, P.A.
• Carpathian Health and Wellness LLC
• Jessica Robertson Carr, M.A.
• Michael Kevin Carroll, PTA, ATC
• Jennifer Carter, L.M.T., N.M.T.
• Lindsey Caserio
• Casey Oral & Facial Surgical Arts LLC
• Gregory M Casey, DDS

• Family Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.