NPIMap

Organization Active NPI

Medcare Telehealth Inc

  • Clinic/Center
  • Ocala, FL
National Provider Identifier
1619764305
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDCARE TELEHEALTH INC
Practice address
1910 SW 18TH CT BLDG 100a
Ocala, FL 34471-7857
Phone
(630) 550-0031
NPI assigned
Apr 24, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Siddiqua Raza
Title
P
Phone
(630) 550-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1910 SW 18TH CT BLDG 100a
Ocala, FL 34471-7857

Mailing address

425 W Colonial Dr Ste 303-693
Orlando, FL 32804-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514002598 FL Part B Supplier - Clinic/Group Practice 2062981434 Receives reassigned benefits from 9 practitioners
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

425 W Colonial Dr
Ste 303693
Orlando, FL 32804
Phone (630) 550-0031

480 N Orlando Ave
Ste 236
Winter Park, FL 32789

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1619764305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303-693",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SW 18TH CT BLDG 100A",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717857",
            "telephone_number": "630-550-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE TELEHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SIDDIQUA",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "630-550-0031"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.