Raul E. Tamayo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0050911 Issued in FL

Practice address

1325 S International Pkwy
Suite 2241
Lake Mary, FL 32746-1695

Phone

(407) 636-9663

Fax

(407) 636-9664

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal MedicineAlso: General Practice, Geriatric Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
• Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Adventhealth Deland Hospital, Deland, FL, CCN 100045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raul.tamayo.1@20613.direct.athenahealth.com

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.

• Vitalgenix Health & Wellness, LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1427428887
  Medicare reassignment NPD Authorized official
• Cyrus Diagnostic Imaging Inc

  • Specialist
  • Lake Mary, FL
  • NPI 1265454425
  Medicare reassignment NPD
• Cyrus Diagnostic Imaging, Inc

  • Radiology Clinic/Center
  • Lake Mary, FL
  • NPI 1740546357
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Altamonte Springs, FL
  • NPI 1518419977
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• M-Sac, Inc.

  • Home Health Agency
  • Orlando, FL
  • NPI 1306183751
  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1568437689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2241",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461695",
            "telephone_number": "407-636-9663",
            "fax_number": "407-636-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2241",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461695",
            "telephone_number": "407-636-9663",
            "fax_number": "407-636-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "RAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0050911",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "04355",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061699100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Andrea Tackoor
• Tammy Tadom, MD
• Tallahassee Orthopedic Clinic III, P.L.
• Edna Lou Talley, OTR/L
• Carolina Fajardo Tamayo, DC
• Tampa Pain Relief Center
• Luanne E Tangedal, CNM, MS
• Mackenzie Tapounet, M.S., CCC-SLP
• Courensia Treniece Tarver
• J'Shon Taubitz

• Internal Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.

Verify at the official NPI Registry.