Active NPI
Raul B Zelaya, MD
- Orthopaedic Surgery Physician
- Lake City, FL
National Provider Identifier
1366440125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME 34230
- Practice address
- 1188 SW Main Blvd
Lake City, FL 32025-6684 - Phone
- (386) 752-6506
- Fax
- (386) 752-6508
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME 34230 | FL | Primary |
Addresses
Primary practice location
1188 SW Main Blvd
Lake City, FL 32025-6684
Mailing address
1188 SW Main Blvd
Lake City, FL 32025-6684
Phone (386) 752-6506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96003 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 34230 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raul B Zelaya MD PA | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Lake City, FL
- NPI 1992982722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366440125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256684",
"telephone_number": "386-752-6506",
"fax_number": "386-752-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 SW MAIN BLVD",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256684",
"telephone_number": "386-752-6506",
"fax_number": "386-752-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELAYA",
"first_name": "RAUL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME 34230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.