Organization Active NPI

Jeffrey a. Carameros PLLC

Doing business as Rainbow River Medical

  • Primary Care Clinic/Center
  • Dunnellon, FL
National Provider Identifier
1326434234
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP9243991 Issued in FL
Legal business name
JEFFREY A. CARAMEROS PLLC
Doing business as
Rainbow River Medical
Practice address
20312 Robinson Rd
Dunnellon, FL 34431-6518
Phone
(352) 489-0126
Fax
(352) 489-0129
NPI assigned
Apr 8, 2015
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Jeffrey Alan Carameros, DNP, ARNPNPI 1457604860
Title
Owner
Phone
(352) 489-0126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ARNP9243991 FL Primary

Addresses

Primary practice location

20312 Robinson Rd
Dunnellon, FL 34431-6518

Mailing address

20312 Robinson Rd
Dunnellon, FL 34431-6518
Phone (352) 489-0126

Other names 1

  • Rainbow River Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150707001399 FL Part B Supplier - Clinic/Group Practice 9638481534 Receives reassigned benefits from 1 practitioner
Practice locations: Dunnellon, FL
O20171011000973 FL Part A Provider - Rural Health Clinic 9638481534 Practice locations: Dunnellon, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326434234. Details of each certification follow.

Rural health clinic certification: CCN 683827

Legal name
JEFFREY A CARAMEROS PLLC
Doing business as
RAINBOW RIVER MEDICAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 9, 2018
Last certification
Aug 9, 2018
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Jul 15, 2014 in FL
Enrollment address
20312 Robinson Rd
Dunnellon, FL 34431-6518

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2122392Rainbow River Medical Laboratory20312 Robinson Rd, Dunnellon, FL 34431Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

20312 Robinson Rd
Dunnellon, FL 34431
Phone (352) 489-0126

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey a Carameros Individual 5% Or Greater Direct Ownership InterestProvider Jul 15, 2014 100%
Corporate OfficerProvider Jul 15, 2014 100%
Corporate DirectorProvider Jul 15, 2017 100%
Operational/Managerial ControlProvider Jul 15, 2017 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1326434234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20312 ROBINSON RD",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316518",
            "telephone_number": "352-489-0126",
            "fax_number": "352-489-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20312 ROBINSON RD",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316518",
            "telephone_number": "352-489-0126",
            "fax_number": "352-489-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. CARAMEROS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CARAMEROS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-489-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP9243991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow River Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.