Active NPI
Ralph James Tullo, M.D.
- Diagnostic Radiology Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME45972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME45972 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Villages Regional Hospital, the
- HCA Florida Osceola Hospital
- Central Florida Lake Monroe Hospital
- Uf Health Shands Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME45972 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Nuclear Radiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Florida Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Central Florida Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland | Diagnostic Radiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Osmond General Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Adventhealth West Florida Imaging, Inc. | Current | Accepting new patients | |
| Osmond General Hospital Inc | Current | 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 | Past | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Past | 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 | Past | 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
- rtullo148313@uihcdirect.org
- 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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Diagnostic Radiology Physician
- Leesburg, FL
- NPI 1497510978
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1427049931
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
- Certified Registered Nurse Anesthetist
- Osmond, NE
- NPI 1528140993
Diagnostic Radiology, SD
-
- Family Medicine Physician
- Wagner, SD
- NPI 1740306992
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1619500881
-
- Diagnostic Radiology Physician
- Land O Lakes, FL
- NPI 1164006359
-
- Diagnostic Radiology Physician
- Plant City, FL
- NPI 1376238642
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Diagnostic Radiology Physician
- Sanford, FL
- NPI 1487708814
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1083403661
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1144019720
-
- General Acute Care Hospital
- Alachua, FL
- NPI 1306717889
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1396616876
-
- General Acute Care Hospital
- Newberry, FL
- NPI 1477424943
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1699874248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.