Individual provider Active NPI

Justin Michael Raye, D.O.

  • Interventional Pain Medicine Physician
  • Sarasota, FL
National Provider Identifier
1427316470
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS14621 Issued in FL
Practice address
2750 Bahia Vista St Ste 100
Sarasota, FL 34239-2640
Phone
(941) 951-2663
Fax
(941) 552-3312
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS14621 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 006918 AZ

Addresses

Primary practice location

2750 Bahia Vista St Ste 100
Sarasota, FL 34239-2640

Mailing address

5111 8TH Avenue Dr W
Bradenton, FL 34209-3707
Phone (941) 920-2190

Other practice location 1

9787 N 91st St Ste 101
Scottsdale, AZ 85258-5088
Phone (480) 845-0334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530001225 FL Practitioner - Pain Management 3274838016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006918AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Jun 1, 2022 Accepting new patients
Sarasota Orthopedic Associates LLC CurrentSince Apr 19, 2017 Accepting new patients
Ortho Florida, LLC CurrentSince Jun 1, 2022 Accepting new patients
Sarasota Orthopedic Associates, LLC CurrentSince Apr 19, 2017 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

5985 Silver Falls Run
Ste 101
Lakewood Ranch, FL 34211
Phone (833) 320-7246

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864

6230 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (813) 448-3848

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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 1

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1427316470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 8TH AVENUE DR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093707",
            "telephone_number": "941-920-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392640",
            "telephone_number": "941-951-2663",
            "fax_number": "941-552-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9787 N 91st St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585088",
            "country_code": "US",
            "telephone_number": "480-845-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYE",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS14621",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "006918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.