Active NPI
Odel Ruano, MD
- Internal Medicine Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME90183
- Practice address
- 2343 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (941) 629-2900
- Fax
- (941) 629-6920
- NPI assigned
- Aug 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME90183 | FL | Primary |
Addresses
Primary practice location
2343 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271721200 | Medicaid | FL | |
| 64255 | Other | FL | BCBS |
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
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Millennium Home Care LLC
- Amedisys Home Health
- Patients First Home Care LLC
- HCA Florida Healthcare at Home
- Aveanna Home Health
- Affinity Care of Charlotte and Desoto LLC
- HCA Florida Fawcett Hospital
- Solaris Healthcare Charlotte Harbor
- Life Care Center of Punta Gorda
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90183 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Internal Medicine | Past | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Internal Medicine | Past | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
3434 Hancock Bridge Pkwy
North Ft Myers, FL 33903
3067 Tamiami Trl
Ste 3
Pt Charlotte, FL 33952
Phone (941) 258-3606
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
2450 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-3447
2335 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
4000 Kings Hwy
Punta Gorda, FL 33980
Phone (941) 255-5855
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- odel.ruano.1@4290.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Life Care Center of Punta Gorda | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 16, 2023 Mar 13, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Punta Gorda, FL
- NPI 1578589925
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Internal Medicine Physician
- Venice, FL
- NPI 1407806094
-
- Podiatrist
- Venice, FL
- NPI 1932470648
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
Internal Medicine
-
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Port Charlotte, FL
- NPI 1679335533
-
- Home Health Agency
- Sarasota, FL
- NPI 1205051497
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
- Home Health Agency
- PT Charlotte, FL
- NPI 1891747952
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Skilled Nursing Facility
- Punta Gorda, FL
- NPI 1578589925
Nursing home
-
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1275904864
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1659384147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2343 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "941-629-2900",
"fax_number": "941-629-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANO",
"first_name": "ODEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271721200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "64255",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.