Active NPI
James L Raders, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- ME111294
- Practice address
- 1421 Malabar Rd NE Ste 245
Melbourne, FL 32907-2586 - Phone
- (321) 434-8210
- Fax
- (321) 434-8211
- NPI assigned
- Aug 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 29481 | MN | |
| Gynecology Physician | 207VG0400X | ME111294 | FL | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | ME111294 | FL | Primary |
Addresses
Primary practice location
1421 Malabar Rd NE Ste 245
Melbourne, FL 32907-2586
Mailing address
3300 S Fiske Blvd
Melbourne, FL 32901-1966
Phone (321) 434-8210
Other practice location 1
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-8210
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107501500 | Medicaid | FL | |
| 478877000 | Medicaid | MN | |
| MR643 | Other | FL | FL MEDICARE |
| P02572457 | Other | FL | FL HF RR MED |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1421 Malabar Rd NE
Suite 245
Palm Bay, FL 32907-2586
Phone (321) 434-8420
Hospital & facility affiliations
- Holmes Regional Medical Center
- Palm Bay Hospital
- Cleveland Clinic Indian River Hospital
- Orlando Health Sebastian River Hospital
- Cape Canaveral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 86.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Colon & Rectal Surgery Associates LTD | Past | Accepting new patients | |
| Premier OBGYN of Minnesota PLLC | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
730 Malabar Rd
Ste B
Malabar, FL 32950
Phone (321) 549-0696
1223 Gateway Dr
Ste 2A
Melbourne, FL 32901
Phone (321) 361-5567
1223 Gateway Dr
#2A
Melbourne, FL 32901
Phone (321) 312-3476
1810 Eldron Blvd SE
Palm Bay, FL 32909
Phone (321) 312-3466
1421 Malabar Rd NE
Ste 245
Palm Bay, FL 32907
Phone (321) 434-8420
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
880 37th Pl
Ste 104
Vero Beach, FL 32960
Phone (321) 434-8210
Interoperability endpoints
- jraders24410@epicdirect.hf.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1376596775
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1548278245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011966",
"telephone_number": "321-434-8210",
"fax_number": "321-434-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 MALABAR RD NE STE 245",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329072586",
"telephone_number": "321-434-8210",
"fax_number": "321-434-8211"
}
],
"practiceLocations": [
{
"address_1": "1810 Eldron Blvd SE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329096831",
"country_code": "US",
"telephone_number": "321-434-8210",
"fax_number": "321-434-8211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADERS",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MN",
"license": "29481",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME111294",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "FL",
"license": "ME111294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107501500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478877000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "MR643",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL HF RR MED",
"identifier": "P02572457",
"state": "FL"
}
],
"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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.