Individual provider Active NPI

Stephanie L Rapke, M.D.

  • Radiation Oncology Physician
  • Sebring, FL
National Provider Identifier
1285686345
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME91644 Issued in FL
Practice address
4416 Sun N Lake Blvd
Sebring, FL 33872
Phone
(863) 382-2049
Fax
(863) 382-2830
NPI assigned
May 17, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 57915 AZ
Radiation Oncology Physician 2085R0001X ME91644 FL Primary

Addresses

Primary practice location

4416 Sun N Lake Blvd
Sebring, FL 33872

Mailing address

PO Box 1031
Orlando, FL 32802-1031
Phone (407) 872-7786

Other practice location 1

2620 W Cota Dr
Bloomington, IN 47403-4211
Phone (812) 353-2800

Other identifiers 4

IdentifierTypeStateIssuer
11415UOtherFLMEDICARE
11415SOtherFLMEDICARE
11415TOtherFLMEDICARE
271049800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 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
I20041023000000 FL Practitioner - Radiation Oncology 6204812142 Reassigns benefits to 1 organization
I20230801001531 VA Practitioner - Radiation Oncology 6204812142 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57915AZMDRadiation Oncology Physician
ME91644FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jul 10, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 24, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 24, 2017 Accepting new patients
Riverside Physician Services, Inc. Radiation Oncology CurrentSince Jul 10, 2023 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Adventist Health System-Sunbelt Inc PastSince Jul 1, 2013 Accepting new patients
Radiation Oncology Associates PL Radiation Oncology Past Accepting new patients
Universal Treatment Center, Inc Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

20480 Market St
Onancock, VA 23417
Phone (757) 302-2100

Interoperability endpoints

  • Direct secure messaging: srapke218473@direct.rivhs.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1285686345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328021031",
            "telephone_number": "407-872-7786",
            "fax_number": "407-872-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33872",
            "telephone_number": "863-382-2049",
            "fax_number": "863-382-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 W Cota Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034211",
            "country_code": "US",
            "telephone_number": "812-353-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPKE",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "57915",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME91644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11415U",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11415S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11415T",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271049800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.