Active NPI
Ruben Lazaro Raya Campos, MD.
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME139472
- Practice address
- 1839 Central Ave
St Petersburg, FL 33713-8900 - Phone
- (727) 322-1054
- Fax
- (727) 821-7213
- NPI assigned
- Mar 19, 2013
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD492515C | PA | |
| Hospitalist Physician | 208M00000X | MD492515C | PA | |
| Internal Medicine Physician | 207R00000X | R2452 | TX | |
| Internal Medicine Physician | 207R00000X | ME139472 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME139472 | FL | |
| Internal Medicine Physician | 207R00000X | 285592 | NY |
Addresses
Primary practice location
1839 Central Ave
St Petersburg, FL 33713-8900
Mailing address
1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054
Other practice location 1
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-4206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113042300 | Medicaid | FL | |
| 1LMY1 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galen Inpatient Physicians PC
Practice addresses (Care Compare)
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 416-7000
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
Hospital & facility affiliations
- St Catherine of Siena Hospital
- St Anthonys Hospital
- Ascension Sacred Heart Bay
- Wynn Hospital
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME139472 | FL | MD | Internal Medicine Physician |
| 285592 | NY | MD | Internal Medicine Physician |
| R2452 | TX | MD | Internal Medicine Physician |
| MD492515C | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, PC | Single Specialty | Current | Accepting new patients |
| Professional Health Care of Pinellas LLC | Single Specialty | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Single Specialty | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Single Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Single Specialty | Current | Accepting new patients |
| Southwest Suffolk Medical PC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Single Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Single Specialty | Current | Accepting new patients |
| North Shore - Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Southwest Suffolk Medical, P.C. | Single Specialty | Current | Accepting new patients |
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Single Specialty | Current | Accepting new patients |
| New York Medical Physician Associates PC | Single Specialty | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Single Specialty | Current | Accepting new patients |
| QMC LLC | Single Specialty | Past | Accepting new patients |
| St. Catherine of Siena Medical Center | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
300 Community Dr
Plandome, NY 11030
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
Single Specialty
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
Single Specialty
-
- Surgical Oncology Physician
- Smithtown, NY
- NPI 1104096049
Single Specialty
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1639056989
Single Specialty
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Single Specialty
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Single Specialty
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Single Specialty
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1285976027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337139089",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
}
],
"practiceLocations": [
{
"address_1": "400 Rosalind Redfern Grover Pkwy",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797015846",
"country_code": "US",
"telephone_number": "432-221-4206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYA CAMPOS",
"first_name": "RUBEN",
"middle_name": "LAZARO",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD492515C",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD492515C",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "R2452",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME139472",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME139472",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "285592",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113042300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1LMY1",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.