Individual provider Active NPI

Raul Ivan Vila, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
National Provider Identifier
1467535112
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME0049181 Issued in FL
Practice address
2500 SW 75TH Ave
Miami, FL 33155-2805
Phone
(305) 264-5252
Fax
(305) 266-1290
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME0049181 FL Primary

Addresses

Primary practice location

2500 SW 75TH Ave
Miami, FL 33155-2805

Mailing address

3450 Buschwood Park Dr Ste 150
Tampa, FL 33618-4465
Phone (813) 935-8501

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
I20100409000058 FL Practitioner - Pathology 8527095843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raul I Vila MD and Associates PAGroup PAC ID 8628005949, 3 clinicians

Practice addresses (Care Compare)

2500 SW 75 Ave
Miami, FL 33155-2805

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raul I Vila MD & Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 27, 2000 Accepting new patients
East Coast Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2022 Accepting new patients
Carmona Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince May 21, 2023 Accepting new patients
Ruffolo Hooper & Associates MD PA Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2022 Accepting new patients
A. Scott Dansky MD PA PastSince Sep 12, 2014 Accepting new patients

Locations

13685 Doctors Way
Ste 330
Fort Myers, FL 33912
Phone (239) 224-3501

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059

5755 Hoover Blvd
Tampa, FL 33634

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

3450 Buschwood Park Dr
Ste 150
Tampa, FL 33618

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Interoperability endpoints

  • Direct secure messaging: wghrvila@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1467535112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BUSCHWOOD PARK DR STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184465",
            "telephone_number": "813-935-8501",
            "fax_number": "813-935-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252",
            "fax_number": "305-266-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA",
        "first_name": "RAUL",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME0049181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.