Individual provider Active NPI

Ricardo Jose Larrain, MD

  • Obstetrics & Gynecology Physician
  • Deland, FL
National Provider Identifier
1154483634
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0062589 Issued in FL
Practice address
800 W Plymouth Ave
Deland, FL 32720-3271
Phone
(386) 736-1404
Fax
(386) 736-1423
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0062589 FL Primary

Addresses

Primary practice location

800 W Plymouth Ave
Deland, FL 32720-3271

Mailing address

800 W Plymouth Ave
Deland, FL 32720-3271
Phone (386) 736-1404

Other identifiers 1

IdentifierTypeStateIssuer
370830600MedicaidFL

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
I20051004000095 FL Practitioner - Obstetrics/Gynecology 7315979028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Plymoth Ave
Deland, FL 32720-3215
Phone (386) 736-1404

Hospital & facility affiliations

  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062589FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo J. Larrain M.D., P.a. CurrentSince Jun 28, 2005 Accepting new patients
Memorial Hospital-West Volusia Inc Past Accepting new patients

Locations

800 W Plymouth Ave
Deland, FL 32720
Phone (386) 736-1404

1414 W Granada Blvd
Ste 3
Ormond Beach, FL 32174
Phone (386) 258-0401

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1154483634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203271",
            "telephone_number": "386-736-1404",
            "fax_number": "386-736-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203271",
            "telephone_number": "386-736-1404",
            "fax_number": "386-736-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRAIN",
        "first_name": "RICARDO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0062589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370830600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.