Individual provider Active NPI

Neal Vrajlal Rajyaguru, MD

  • Physical Medicine & Rehabilitation Physician
  • Kissimmee, FL
National Provider Identifier
1316301070
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME144874 Issued in FL
Practice address
505 W Vine St Ste 301
Kissimmee, FL 34741-4123
Phone
(407) 935-9404
Fax
(407) 935-9304
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME144874 FL Primary

Addresses

Primary practice location

505 W Vine St Ste 301
Kissimmee, FL 34741-4123

Mailing address

505 W Vine St Ste 301
Kissimmee, FL 34741-4123
Phone (407) 934-9404

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713002761 FL Practitioner - Physical Medicine and Rehabilitation 6002151776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Clinic PAGroup PAC ID 5597844795, 2 clinicians

Practice addresses (Care Compare)

505 W Vine St
Suite 301
Kissimmee, FL 34741-4123
Phone (407) 935-9404

Hospital & facility affiliations

  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Clinic PA CurrentSince Jun 1, 2020 Accepting new patients

Locations

505 W Vine St
Ste 301
Kissimmee, FL 34741
Phone (407) 935-9404

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 3

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1316301070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W VINE ST STE 301",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414123",
            "telephone_number": "407-934-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W VINE ST STE 301",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414123",
            "telephone_number": "407-935-9404",
            "fax_number": "407-935-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJYAGURU",
        "first_name": "NEAL",
        "middle_name": "VRAJLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME144874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.