Active NPI
Raoul Muse, M.D.
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1487810503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME130329
- Practice address
- 3550 W Waters Ave
Suite 110
Tampa, FL 33614-2716 - Phone
- (813) 886-8899
- Fax
- (813) 443-8162
- NPI assigned
- Jul 29, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116018137 | VA | |
| Family Medicine Physician | 207Q00000X | 0101245823 | VA | |
| Family Medicine Physician | 207Q00000X | ME130329 | FL | Primary |
Addresses
Primary practice location
3550 W Waters Ave
Suite 110
Tampa, FL 33614-2716
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | GROUP PTAN |
| 019882400 | Medicaid | FL |
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 |
|---|---|---|---|
| 0101245823 | VA | MD | Family Medicine Physician |
| 0116018137 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Medical Center LLC | Past | Accepting new patients | |
| Bon Secours St Francis Medical Center LLC | Past | Accepting new patients | |
| Bon Secours St. Francis Medical Center Inc | Past | Accepting new patients |
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.
-
- Surgery Physician
- Midlothian, VA
- NPI 1083841936
-
- Neurology Physician
- Chester, VA
- NPI 1811228711
-
- Internal Medicine Physician
- Midlothian, VA
- NPI 1053698399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1487810503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-266-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 W WATERS AVE",
"address_2": "SUITE 110",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142716",
"telephone_number": "813-886-8899",
"fax_number": "813-443-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSE",
"first_name": "RAOUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116018137",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101245823",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME130329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C09633",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019882400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.