Individual provider Active NPI

Raul A Carril, PA

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1265481964
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100714 Issued in FL
Practice address
5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone
(407) 288-8080
Fax
(407) 352-0104
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100714 FL Primary

Addresses

Primary practice location

5948 Turkey Lake Rd
Orlando, FL 32819-4202

Mailing address

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 288-8080

Other identifiers 1

IdentifierTypeStateIssuer
373793400MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000600 FL Practitioner - Physician Assistant 0042342503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain and Rehabilitation Associates IncGroup PAC ID 6204732605, 69 clinicians

Practice addresses (Care Compare)

1530 Citrus Medical CT
Suite 101
Ocoee, FL 34761-4548
Phone (407) 622-7246

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9100714FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 8, 2016 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 8, 2016 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients
Florida Pain and Rehabilitation Associates Inc Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

1530 Citrus Medical Ct
Ste 101
Ocoee, FL 34761
Phone (321) 320-8790

5948 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 228-8080

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rcarril@nationalspine.emadirect.md

Organizations & group practices 5

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1265481964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194202",
            "telephone_number": "407-288-8080",
            "fax_number": "407-352-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194202",
            "telephone_number": "407-288-8080",
            "fax_number": "407-352-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIL",
        "first_name": "RAUL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373793400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.