Individual provider Active NPI

Monica Raquel Rider, D.O

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1659616670
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12222 Issued in FL
Practice address
2103 N Rome Ave
Tampa, FL 33607-3509
Phone
(813) 490-1426
Fax
(813) 490-1760
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO2611 FL
Family Medicine Physician 207Q00000X OS12222 FL Primary

Addresses

Primary practice location

2103 N Rome Ave
Tampa, FL 33607-3509

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Other names 1

  • Monica Raquel Alexander Former name

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
I20130730000384 FL Practitioner - Family Practice 9436390754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12222FLMDFamily Medicine Physician
UO2611FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Aug 16, 2021 Accepting new patients
MCR Health, Inc. Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
MCR Health, Inc. Family Medicine Past Accepting new patients

Locations

1148 E Gibson St
Arcadia, FL 34266
Phone (863) 491-5774

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: monica.rider.2@11352.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1659616670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 N ROME AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073509",
            "telephone_number": "813-490-1426",
            "fax_number": "813-490-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "MONICA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO2611",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "ALEXANDER",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.