Kelly Lynn Raff-Anunciato, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS7872 Issued in FL

Practice address

2550 W Dr Martin Luther King Jr Blvd Ste C
Tampa, FL 33607-6302

Phone

(813) 684-2229

Fax

(813) 413-0226

NPI assigned

Nov 22, 2005

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kelly Lynn Anunciato Professional name

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

Specialty

Obstetrics/Gynecology

Education

Philadelphia College of Osteopathic Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kraffanunciato73534@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Mercy Health-Lourdes Hospital LLC

  dba Harness Health Pharmacy

  • Community/Retail Pharmacy
  • Paducah, KY
  • NPI 1700214558
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1760465926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W DR MARTIN LUTHER KING JR BLVD STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076302",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W DR MARTIN LUTHER KING JR BLVD STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076302",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Dr Martin Luther King Jr Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076302",
            "country_code": "US",
            "telephone_number": "813-684-2229",
            "fax_number": "813-413-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Oakfield Drive",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116007",
            "country_code": "US",
            "telephone_number": "813-654-2273 x1129",
            "fax_number": "813-654-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFF-ANUNCIATO",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "02740",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS7872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64048481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ANUNCIATO",
            "middle_name": "LYNN",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tyler Radziszewski, OTD
• Rafael a Rondon MD PA
• Rafael Matos Medical Center Inc
• Raisa I Rafalovich, ARNP
• Ramish Hussain Rafay, MD
• Jose A Raffinan Jr.
• Stacy Raffington
• Georges Raffoul, DMD
• Rebecca Raffoul, PA-C
• Siamak Rafieian, DDS

• Obstetrics & Gynecology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.