Individual provider Active NPI

Gina Raptoulis, D.O.

  • Rheumatology Physician
  • Palm Harbor, FL
National Provider Identifier
1124323860
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS11500 Issued in FL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001036 FL Practitioner - Rheumatology 4880905967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11500FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Center Inc CurrentSince Jul 6, 2015 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

Verify at the official NPI Registry.