Individual provider Active NPI

Albert J Razzetti, M.D.

  • Internal Medicine Physician
  • Deland, FL
National Provider Identifier
1770541062
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0051441 Issued in FL
Practice address
1070 N Stone St
Suite a
Deland, FL 32720-0919
Phone
(386) 943-7100
Fax
(386) 738-2624
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0051441 FL
Internal Medicine Physician 207R00000X ME0051441 FL Primary

Addresses

Primary practice location

1070 N Stone St
Suite a
Deland, FL 32720-0919

Mailing address

1070 N Stone St
Suite a
Deland, FL 32720-0919
Phone (386) 943-7100

Other identifiers 1

IdentifierTypeStateIssuer
061905100MedicaidFL

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
I20050912000094 FL Practitioner - Internal Medicine 1456383637

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1070 N Stone St
Suite a
Deland, FL 32720-0919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0051441FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Volusia Healthcare Corporation Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Sep 4, 1987 Accepting new patients
Memorial Hospital-West Volusia Inc CurrentSince Sep 4, 1987 Accepting new patients
Memorial Hospital-West Volusia Inc Past Accepting new patients

Locations

1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1070 N Stone St
Deland, FL 32720
Phone (386) 943-7100

508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659

600 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-3850

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: arazzetti57532@adventhealth.direct-ci.com

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1770541062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-943-7100",
            "fax_number": "386-738-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-943-7100",
            "fax_number": "386-738-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZETTI",
        "first_name": "ALBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0051441",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0051441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061905100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.