NPIMap

Individual provider Active NPI

Rajnish Puri, D.O

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1689660474
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0S8896 Issued in FL
Practice address
471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803
Phone
(407) 678-5656
Fax
(407) 677-5550
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0S8896 FL Primary

Addresses

Primary practice location

471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803

Mailing address

8805 Windsor Pointe Dr
Orlando, FL 32829-7802
Phone (407) 702-5541

Other identifiers 1

IdentifierTypeStateIssuer
37976OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000438 FL Practitioner - Internal Medicine 3870632805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
University Medical Care PAGroup PAC ID 4385604479, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

471 N Semoran Blvd
Suite a
Winter Park, FL 32792-3803
Phone (407) 678-5656

Hospital & facility affiliations

  • Family Home Care Group LLC Home health agency, Orlando, FL, CCN 103144
  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
74.7
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S8896FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Care, PA Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Madison County Memorial Hospital Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

471 N Semoran Blvd
Ste A
Winter Park, FL 32792
Phone (407) 678-5656

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGADD/Endpoint/EIGADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGADD

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1689660474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 WINDSOR POINTE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297802",
            "telephone_number": "407-702-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 N SEMORAN BLVD",
            "address_2": "SUITE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923803",
            "telephone_number": "407-678-5656",
            "fax_number": "407-677-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "RAJNISH",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0S8896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37976",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.