Individual provider Active NPI

Raymund Chua, MD

  • Family Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1821075532
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 95592 Issued in FL
Practice address
5355 Red Bug Lake Rd
Winter Springs, FL 32708-4909
Phone
(321) 304-3300
Fax
(321) 304-3287
NPI assigned
Dec 23, 2005
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 95592 FL Primary

Addresses

Primary practice location

5355 Red Bug Lake Rd
Winter Springs, FL 32708-4909

Mailing address

906 Moonluster Dr
Casselberry, FL 32707-3437
Phone (407) 637-5247

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
I20070403000501 FL Practitioner - Family Practice 8628031580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95592FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Carenow Urgent Care LLC CurrentSince Dec 12, 2017 Accepting new patients
Paramount Urgent Care Inc CurrentSince Dec 12, 2017 Accepting new patients
Heathrow Internal Medicine LLC Family Medicine Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Medical Consultants PC Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Solantic LLC Past Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Henry County Urgent Care LLC Family Medicine Past Accepting new patients

Locations

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1821075532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MOONLUSTER DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073437",
            "telephone_number": "407-637-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 RED BUG LAKE RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084909",
            "telephone_number": "321-304-3300",
            "fax_number": "321-304-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "RAYMUND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 95592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.