Active NPI
Robert A. Raquet, M.D.
- Internal Medicine Physician
- The Villages, FL
National Provider Identifier
1669435772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME126725
- Practice address
- 2485 Pinellas PL
The Villages, FL 32163-2703 - Phone
- (352) 674-1720
- Fax
- (352) 674-8920
- NPI assigned
- Apr 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD067664L | PA | |
| Internal Medicine Physician | 207R00000X | ME126725 | FL | Primary |
Addresses
Primary practice location
2485 Pinellas PL
The Villages, FL 32163-2703
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME126725 | Other | FL | MEDICAL LICENSE |
| 02248202 | Other | PA | CAPITAL BLUE CROSS |
| 50379 | Other | PA | GEISINGER HEALTH PLAN |
| 0017490040001 | Medicaid | PA | |
| 110190183 | Other | PA | RAILROAD MEDICARE |
| RA996700 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126725 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstat Wellness Lake County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Tavares, FL
- NPI 1144774969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1669435772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8905",
"fax_number": "352-674-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 PINELLAS PL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321632703",
"telephone_number": "352-674-1720",
"fax_number": "352-674-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAQUET",
"first_name": "ROBERT",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD067664L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME126725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME126725",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02248202",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "50379",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017490040001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110190183",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "RA996700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.