Individual provider Active NPI

Rafaela Giunti Basso, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1699303107
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME161256 Issued in FL
Practice address
2151 Consulate Dr Ste 17
Orlando, FL 32837-8808
Phone
(407) 630-6630
Fax
(407) 512-5116
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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 ME161256 FL Primary

Addresses

Primary practice location

2151 Consulate Dr Ste 17
Orlando, FL 32837-8808

Mailing address

2151 Consulate Dr Ste 17
Orlando, FL 32837-8808
Phone (407) 630-6630

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
I20240419001315 FL Practitioner - Internal Medicine 6002255312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamlin Clinical Center LLCGroup PAC ID 4284073594, 2 clinicians

Practice addresses (Care Compare)

2151 Consulate Dr
Suite 17
Orlando, FL 32837-8808
Phone (407) 630-6630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161256FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamlin Clinical Center LLC Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients

Locations

2151 Consulate Dr
Ste 17
Orlando, FL 32837
Phone (407) 630-6630

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1699303107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 17",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378808",
            "telephone_number": "407-630-6630",
            "fax_number": "407-512-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 17",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378808",
            "telephone_number": "407-630-6630",
            "fax_number": "407-512-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUNTI BASSO",
        "first_name": "RAFAELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME161256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.