NPIMap

Individual provider Active NPI

Raymond Allen James, DO

  • Emergency Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1285793232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS7168 Issued in FL
Practice address
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone
(941) 627-6130
Fax
(941) 627-6146
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS7168 FL Primary

Addresses

Primary practice location

21298 Olean Blvd
Port Charlotte, FL 33952-6705

Mailing address

3141 NW 63Rd St
Suite 4
Oklahoma City, OK 73116-3788
Phone (405) 607-1318

Other identifiers 1

IdentifierTypeStateIssuer
57407OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000469 FL Practitioner - Emergency Medicine 4981867306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Boca Grande Health ClinicGroup PAC ID 7810069879, 2 clinicians

Practice addresses (Care Compare)

280 Park Ave
PO Box 517
Boca Grande, FL 33921-0517
Phone (941) 964-2276

PO Box
Suite 517
Boca Grande, FL 33921-0517

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Fort Myers, FL, CCN 107630
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Merit-based Incentive Payment System (MIPS)

Final score
73.12 of 100Reported as group
Quality
51.11
Improvement activities
40
Cost
75.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7168FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Venice and Englewood, PA Current Accepting new patients
Boca Grande Health Clinic CurrentSince Mar 1, 2018 Accepting new patients
John W Conboy MD PA Past Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Gulf Coast Emergency Physicians PA Emergency Medicine PastSince Jan 1, 2012 Accepting new patients

Locations

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

Interoperability endpoints

  • Direct secure messaging: raymond.james.1@15244.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1485

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285793232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 NW 63RD ST",
            "address_2": "SUITE 4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163788",
            "telephone_number": "405-607-1318",
            "fax_number": "405-607-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21298 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526705",
            "telephone_number": "941-627-6130",
            "fax_number": "941-627-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RAYMOND",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS7168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57407",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.