Active NPI
Ray Hernando Tangunan, M.D.
- Family Medicine Physician
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME56385
- Practice address
- 6801 US Highway 27 N
Suite B-4
Sebring, FL 33870-7840 - Phone
- (863) 314-8440
- NPI assigned
- Mar 9, 2006
- Last updated
- Nov 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME56385 | FL | Primary |
Addresses
Primary practice location
6801 US Highway 27 N
Suite B-4
Sebring, FL 33870-7840
Mailing address
6801 US Highway 27 N
Suite B-4
Sebring, FL 33870-7840
Phone (863) 314-8440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037566703 | Medicaid | FL | |
| 08786 | Other | FL | BLUE CROSS BLUE SHIELD |
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
- General Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System-Sunbelt Inc
Practice addresses (Care Compare)
515 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-6606
533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-3101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Family Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Family Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Family Medicine | Current | Accepting new patients |
Locations
1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Interoperability endpoints
- tangunan.ray.002.0090001@rtmd.meditab.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba AdventHealth Medical Group Cardiology & Vascular Medicine at Wauchula
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Family Medicine
-
dba AdventHealth Family Medicine Wauchula
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1396046637
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Lab
- Critical Access Hospital
- Wauchula, FL
- NPI 1275511651
-
dba AdventHealth Wauchula
- Critical Access Hospital
- Wauchula, FL
- NPI 1457458986
Nursing home
-
dba Good Shepherd Hospice
- Community Based Hospice Care Agency
- Lakeland, FL
- NPI 1235283151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1649248345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "SUITE B-4",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-314-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "SUITE B-4",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-314-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGUNAN",
"first_name": "RAY",
"middle_name": "HERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME56385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037566703",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08786",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.