Organization Active NPI

Heartpumper Incorporated

  • Legal Medicine
  • Melbourne, FL
National Provider Identifier
1407058480
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
HEARTPUMPER INCORPORATED
Practice address
5302 Outlook Dr
Melbourne, FL 32940-2345
Phone
(321) 480-3008
NPI assigned
Jun 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Prof. Richard Anthony Raley, MPS, CCT, CCPNPI 1265634257
Title
Ceo, Sr. Clinical Perfusionist
Phone
(321) 480-3008

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X FL
PerfusionistGroup: 193200000X MULTI-SPECIALTY GROUP 242T00000X FL
Hemapheresis PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 246QH0401X FL
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X FL
Cardiovascular Invasive Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2901X FL
Biomedical Engineering TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472B0301X FL
Veterinary TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472V0600X FL

Addresses

Primary practice location

5302 Outlook Dr
Melbourne, FL 32940-2345

Mailing address

5302 Outlook Dr
Melbourne, FL 32940-2345
Phone (321) 480-3008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407058480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 OUTLOOK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402345",
            "telephone_number": "321-480-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 OUTLOOK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402345",
            "telephone_number": "321-480-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTPUMPER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO, SR. CLINICAL PERFUSIONIST",
        "authorized_official_telephone_number": "321-480-3008",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MPS, CCT, CCP"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Perfusionist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Hemapheresis Practitioner",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2472B0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Biomedical Engineering",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2472V0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Veterinary",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.