Individual provider Active NPI

Ruben Lazaro Raya Campos, MD.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1285976027
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139472 Issued in FL
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

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD492515C PA
Hospitalist Physician 208M00000X MD492515C PA
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
113042300MedicaidFL
1LMY1OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, FL, PA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170731000799 TX Practitioner - Internal Medicine 1052682705 Reassigns benefits to 3 organizations
I20190325001003 NY Practitioner - HospitalistPractitioner - Internal Medicine 1052682705 Reassigns benefits to 4 organizations
I20220119000991 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1052682705 Reassigns benefits to 2 organizations
I20251030005004 PA Practitioner - HospitalistPractitioner - Internal Medicine 1052682705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, shared by 11 NPIs, 1,045 clinicians
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

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 Hospital, Smithtown, NY, CCN 330401
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139472FLMDInternal Medicine Physician
285592NYMDInternal Medicine Physician
R2452TXMDInternal Medicine Physician
MD492515CPAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Sep 1, 2025 Accepting new patients
24 On Physicians, PC Single Specialty CurrentSince Jan 7, 2019 Accepting new patients
Professional Health Care of Pinellas LLC Single Specialty CurrentSince Dec 27, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA Single Specialty CurrentSince Jun 15, 2018 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
Galen Inpatient Physicians PC Single Specialty CurrentSince Sep 17, 2024 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Jan 12, 2020 Accepting new patients
24 On Physicians, P.C. Single Specialty CurrentSince Jan 7, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Single Specialty CurrentSince May 13, 2024 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Dec 26, 2020 Accepting new patients
Southwest Suffolk Medical, P.C. Single Specialty CurrentSince Jan 12, 2020 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Dec 27, 2021 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Dec 26, 2020 Accepting new patients
New York Medical Physician Associates PC Single Specialty Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 17, 2024 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

  • FHIR API: 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.

View all 19

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.