NPIMap

Individual provider Active NPI

Ricardo James Navarro, D.O.

  • Internal Medicine Physician
  • Lake Wales, FL
National Provider Identifier
1346628971
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS14384 Issued in FL
Practice address
1137 Druid Cir
Lake Wales, FL 33853
Phone
(863) 949-6541
Fax
(863) 949-6538
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS14384 FL Primary

Addresses

Primary practice location

1137 Druid Cir
Lake Wales, FL 33853

Mailing address

1137 Druid Cir
Lake Wales, FL 33853-4339
Phone (863) 949-6541

Other practice location 1

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2966

Other practice location 2

2433 Highway 60 E
Lake Wales, FL 33898-5122
Phone (863) 949-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504001799 FL Practitioner - Internal Medicine 5395051601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2433 Sr
Suite 60
Lake Wales, FL 33889-1400
Phone (863) 949-6541

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Vitalcaring Group Home health agency, Tampa, FL, CCN 109761
  • Adventhealth Home Health Home health agency, Temple Terrace, FL, CCN 107414
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14384FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Navarro D.O., P.a. Internal Medicine CurrentSince Mar 4, 2019 Accepting new patients
Lake Wales Physician Services, LLC CurrentSince Dec 29, 2019 Accepting new patients
P. Rene Navarro, MD, PA PastSince Mar 4, 2019 Accepting new patients

Locations

2433 State Road 60 E
Lake Wales, FL 33898
Phone (863) 676-2717

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

1137 Druid Cir
Lake Wales, FL 33853
Phone (863) 676-0702

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAHGBD/Endpoint/HAHGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAHGBD

Organizations & group practices 3

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 11

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1346628971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 DRUID CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534339",
            "telephone_number": "863-949-6541",
            "fax_number": "863-949-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 DRUID CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33853",
            "telephone_number": "863-949-6541",
            "fax_number": "863-949-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Fivay Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677103",
            "country_code": "US",
            "telephone_number": "727-819-2966",
            "fax_number": "727-819-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2433 Highway 60 E",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338985122",
            "country_code": "US",
            "telephone_number": "863-949-6541",
            "fax_number": "863-949-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "RICARDO",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS14384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.