Individual provider Active NPI

James L Raders, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Melbourne, FL
National Provider Identifier
1548278245
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME111294 Issued in FL
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

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107501500MedicaidFL
478877000MedicaidMN
MR643OtherFLFL MEDICARE
P02572457OtherFLFL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000053 FL Practitioner - Obstetrics/Gynecology 4284527326 Reassigns benefits to 1 organization

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
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1421 Malabar Rd NE
Suite 245
Palm Bay, FL 32907-2586
Phone (321) 434-8420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as apm
Quality
86.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Aug 3, 2020 Accepting new patients
Health First Medical Group, LLC CurrentSince Aug 3, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.