Individual provider Active NPI

Jonathan Ragheb, MD

  • Gastroenterology Physician
  • Altamonte Springs, FL
National Provider Identifier
1861925984
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME144466 Issued in FL
Practice address
661 E Altamonte Dr Ste 222
Altamonte Springs, FL 32701-5102
Phone
(407) 303-3081
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME144466 FL
Gastroenterology Physician 207RG0100X ME144466 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr Ste 222
Altamonte Springs, FL 32701-5102

Mailing address

661 E Altamonte Dr Ste 222
Altamonte Springs, FL 32701-5102
Phone (407) 303-3081

Other practice location 1

2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 659-5000

Other practice location 2

13944 Euclid Ave
East Cleveland, OH 44112-3804
Phone (216) 767-4242

Other practice location 3

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

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
I20200812002715 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 7719255231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

661 E Altamonte Dr
Altamonte Springs, FL 32701-5102

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 9, 2024 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

661 E Altamonte Dr
Ste 222
Altamonte Springs, FL 32701
Phone (407) 303-3081

960 Rinehart Rd
Ste 2000
Lake Mary, FL 32746
Phone (689) 274-3040

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jragheb3927523@adventhealth.direct-ci.com

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 2

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1861925984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 222",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-303-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 222",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015102",
            "telephone_number": "407-303-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Cleveland Clinic Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313625",
            "country_code": "US",
            "telephone_number": "954-659-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13944 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "East Cleveland",
            "state": "OH",
            "postal_code": "441123804",
            "country_code": "US",
            "telephone_number": "216-767-4242",
            "fax_number": "216-767-4339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHEB",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME144466",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME144466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.