Individual provider Active NPI

Richard Raoul Lotenfoe, M.D.

  • Urology Physician
  • Celebration, FL
National Provider Identifier
1184623340
Registry record updated Apr 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME056288 Issued in FL
Practice address
410 Celebration PL
Suite 203
Celebration, FL 34747-5433
Phone
(407) 566-1105
Fax
(407) 566-1106
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME056288 FL Primary

Addresses

Primary practice location

410 Celebration PL
Suite 203
Celebration, FL 34747-5433

Mailing address

410 Celebration PL
Suite 203
Celebration, FL 34747-5433
Phone (407) 566-1105

Other identifiers 1

IdentifierTypeStateIssuer
340019792OtherMEDICARE RAILROAD

Other names 1

  • Dr. Richard Raoul Lo Ten Foe Other name

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
I20060901000221 FL Practitioner - Urology 2769491117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

410 Celebration PL
Suite 203
Celebration, FL 34747-5434
Phone (407) 566-1105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME056288FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Health Solutions Inc Urology CurrentSince Jun 1, 2006 Accepting new patients
Sebring Urology Center Urology Past Accepting new patients
Memorial Hospital, Inc. Past Accepting new patients
Kye C Pahk Urology Past Accepting new patients

Locations

410 Celebration Pl
Ste 203
Kissimmee, FL 34747
Phone (407) 354-4470

7500 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (386) 742-0419

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13224/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 6

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207440000000",
    "number": "1184623340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL",
            "address_2": "SUITE 203",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475433",
            "telephone_number": "407-566-1105",
            "fax_number": "407-566-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL",
            "address_2": "SUITE 203",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475433",
            "telephone_number": "407-566-1105",
            "fax_number": "407-566-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTENFOE",
        "first_name": "RICHARD",
        "middle_name": "RAOUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME056288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340019792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "LO TEN FOE",
            "middle_name": "RAOUL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.