NPIMap

Individual provider Active NPI

Ralph Patrick Page, M.D.

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1770569527
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0041617 Issued in FL
Practice address
1026 Florida Ave S
Rockledge, FL 32955-2132
Phone
(321) 631-1400
Fax
(321) 631-1404
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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 ME0041617 FL Primary

Addresses

Primary practice location

1026 Florida Ave S
Rockledge, FL 32955-2132

Mailing address

1026 Florida Ave S
Rockledge, FL 32955-2132
Phone (321) 631-1400

Other identifiers 1

IdentifierTypeStateIssuer
036157700MedicaidFL

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
I20101130000817 FL Practitioner - Internal MedicinePractitioner - General Practice 9335335504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1026 Florida Ave S
Rockledge, FL 32955-2132

1026 S Florida Ave
Rockledge, FL 32955-2132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0041617FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph P Page MD Inc Internal Medicine CurrentSince May 16, 2010 Accepting new patients
Medec Medical Care PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1270 N Wickham Rd
Ste 9
Melbourne, FL 32935
Phone (321) 567-2211

1026 Florida Ave S
#P
Rockledge, FL 32955
Phone (321) 631-1400

1026 Florida Ave S
Rockledge, FL 32955
Phone (321) 631-1400

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 11

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1770569527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552132",
            "telephone_number": "321-631-1400",
            "fax_number": "321-631-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552132",
            "telephone_number": "321-631-1400",
            "fax_number": "321-631-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "RALPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0041617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036157700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.