Organization Active NPI

Rad Onc Group LLC

  • Radiation Oncology Physician
  • Fort Pierce, FL
National Provider Identifier
1346322724
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RAD ONC GROUP LLC
Practice address
5550 S US Highway 1
Fort Pierce, FL 34982-8701
Phone
(772) 464-8862
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Ramesh Kumar, M.D.
Title
Owner/Physician
Phone
(772) 464-8862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5550 S US Highway 1
Fort Pierce, FL 34982-8701

Mailing address

PO Box 880429
Fort Pierce, FL 34988-0429

Other identifiers 1

IdentifierTypeStateIssuer
277737100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1631 NW Saint Lucie West Blvd
Ste 104
Port St Lucie, FL 34986
Phone (772) 336-2797

931 37th Pl
Vero Beach, FL 32960
Phone (772) 403-2390

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1346322724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880429",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349880429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-464-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD ONC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-464-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277737100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.