Individual provider Active NPI

Jay N Rayan, MD PA

  • Internal Medicine Physician
  • Windermere, FL
National Provider Identifier
1174584676
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0063436 Issued in FL
Practice address
9837 Grosvenor Pointe Cir
Windermere, FL 34786-5661
Phone
(352) 346-7660
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0063436 FL Primary

Addresses

Primary practice location

9837 Grosvenor Pointe Cir
Windermere, FL 34786-5661

Mailing address

9837 Grosvenor Pointe Cir
Windermere, FL 34786-5661

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
I20120329000320 FL Practitioner - Internal Medicine 8426010158 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Park Internal Medicine MD PA Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

1855 Hollywood Ave
Winter Park, FL 32789
Phone (407) 645-2334

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71213

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1174584676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9837 GROSVENOR POINTE CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9837 GROSVENOR POINTE CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865661",
            "telephone_number": "352-346-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAN",
        "first_name": "JAY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.