Individual provider Active NPI

Hunter Rafoth, MD

  • Sports Medicine (Family Medicine) Physician
  • Melbourne, FL
National Provider Identifier
1700414067
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME152929 Issued in FL
Practice address
5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone
(321) 843-5851
Fax
(407) 573-3355
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023-00836 NC
Sports Medicine (Family Medicine) Physician 207QS0010X 2023-00836 NC
Sports Medicine (Family Medicine) Physician 207QS0010X ME152929 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5565 N Wickham Rd
Melbourne, FL 32940-7304

Mailing address

60 Columbia St Ste 400
Orlando, FL 32806-1115
Phone (321) 843-5851

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
I20240726003263 FL Practitioner - Sports Medicine 0143644765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1900 N Alafaya TRL
Suite 900
Orlando, FL 32826-4737
Phone (407) 380-8705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152929FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

5565 N Wickham Rd
Melbourne, FL 32940
Phone (407) 573-3352

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705

10155 Dowden Rd
Ste 301
Orlando, FL 32832

60 Columbia St
Ste 400
Orlando, FL 32806

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1700414067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COLUMBIA ST STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061115",
            "telephone_number": "321-843-5851",
            "fax_number": "321-843-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407304",
            "telephone_number": "321-843-5851",
            "fax_number": "407-573-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFOTH",
        "first_name": "HUNTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-00836",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2023-00836",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME152929",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.