Active NPI
Ralph J. Caruana, MD
- Nephrology Physician
- Orlando, FL
National Provider Identifier
1508976259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME107230
- Practice address
- 3400 Quadrangle Blvd
Orlando, FL 32817-1492 - Phone
- (407) 266-3627
- Fax
- (407) 309-4799
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 019494 | GA | |
| Nephrology Physician | 207RN0300X | ME107230 | FL | Primary |
Addresses
Primary practice location
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Mailing address
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 908619 | Medicaid | SC | |
| 000153348A | Medicaid | GA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1508976259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 QUADRANGLE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171492",
"telephone_number": "407-266-3627",
"fax_number": "407-309-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 QUADRANGLE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171492",
"telephone_number": "407-266-3627",
"fax_number": "407-309-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUANA",
"first_name": "RALPH",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "019494",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME107230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "908619",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000153348A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.