Active NPI
Rafael Apontelopez, M.D.
- Vascular & Interventional Radiology Physician
- St Augustine, FL
National Provider Identifier
1265400428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME57512
- Practice address
- 400 Health Park Blvd
Attn: Radiology Department
St Augustine, FL 32086-5784 - Phone
- (904) 819-4398
- Fax
- (904) 819-4976
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 Radiology Physician | 2085R0202X | ME57512 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME57512 | FL | Primary |
Addresses
Primary practice location
400 Health Park Blvd
Attn: Radiology Department
St Augustine, FL 32086-5784
Mailing address
400 Health Park Blvd
Attn: Radiology Department
St Augustine, FL 32086-5784
Phone (904) 819-4398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052791200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57512 | FL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Medical Development Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1992787576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1265400428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4398",
"fax_number": "904-819-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4398",
"fax_number": "904-819-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTELOPEZ",
"first_name": "RAFAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME57512",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME57512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052791200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.