Individual provider Active NPI

Ralph James Tullo, M.D.

  • Diagnostic Radiology Physician
  • Lake Mary, FL
National Provider Identifier
1225035751
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME45972 Issued in FL
Practice address
1640 Cherry Ridge Dr
Lake Mary, FL 32746-1945
Phone
(321) 262-9670
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X ME45972 FL
Diagnostic Radiology Physician 2085R0202X ME45972 FL Primary

Addresses

Primary practice location

1640 Cherry Ridge Dr
Lake Mary, FL 32746-1945

Mailing address

1640 Cherry Ridge Dr
Lake Mary, FL 32746-1945
Phone (321) 262-9670

Other identifiers 1

IdentifierTypeStateIssuer
ME45972OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031118000670 FL Practitioner - Diagnostic Radiology 8426962978 Reassigns benefits to 5 organizations
I20120210000806 SD Practitioner - Diagnostic Radiology 8426962978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging Specialists of LakelandGroup PAC ID 2264422294, 70 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians

Practice addresses (Care Compare)

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone (863) 688-2334

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (904) 399-5550

1535 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 273-9500

1549 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 265-4357

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1640 Cherry Ridge Dr
Lake Mary, FL 32746-1945
Phone (800) 229-2273

17021 US Hwy 441
Mount Dora, FL 32757-6734
Phone (317) 614-9881

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME45972FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Nuclear Radiology CurrentSince Oct 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 18, 2022 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Jan 17, 2018 Accepting new patients
Wagner Community Memorial Hospital Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Wagner Community Memorial Hospital CurrentSince Jan 17, 2018 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 24, 2024 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Oct 15, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 18, 2022 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Osmond General Hospital Inc Diagnostic Radiology CurrentSince Jan 16, 2012 Accepting new patients
Adventhealth West Florida Imaging, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Osmond General Hospital Inc CurrentSince Jan 16, 2012 Accepting new patients
Memorial Health Systems Inc Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology PastSince Jun 4, 2008 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
Ralph J. Tullo, MD, PA Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc Diagnostic Radiology Past Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Innovative Imaging Associates, PA Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 48)

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 687-1222

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rtullo148313@uihcdirect.org
  • Direct secure messaging: rtullo595925@direct.shands.ufl.edu

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1225035751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CHERRY RIDGE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461945",
            "telephone_number": "321-262-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CHERRY RIDGE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461945",
            "telephone_number": "321-262-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLO",
        "first_name": "RALPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME45972",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME45972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME45972",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.