Active NPI
Gina Raptoulis, D.O.
- Rheumatology Physician
- Palm Harbor, FL
National Provider Identifier
1124323860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OS11500
- Practice address
- 32615 US 19 N
Suite 2
Palm Harbor, FL 34684-3176 - Phone
- (727) 789-2784
- Fax
- (727) 785-3537
- NPI assigned
- Jan 11, 2011
- Last updated
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | OS11500 | FL | Primary |
Addresses
Primary practice location
32615 US 19 N
Suite 2
Palm Harbor, FL 34684-3176
Mailing address
32615 US 19 N
Suite 2
Palm Harbor, FL 34684-3176
Phone (727) 789-2784
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11500 | FL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis Center Inc | Current | Accepting new patients |
Locations
32615 US Highway 19 N
Ste 2
Palm Harbor, FL 34684
Phone (727) 784-2784
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1124323860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32615 US 19 N",
"address_2": "SUITE 2",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843176",
"telephone_number": "727-789-2784",
"fax_number": "727-785-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32615 US 19 N",
"address_2": "SUITE 2",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843176",
"telephone_number": "727-789-2784",
"fax_number": "727-785-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPTOULIS",
"first_name": "GINA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "OS11500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.