Raul Tadeo Carrillo-Bislick, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME87534 Issued in FL

Practice address

1970 Hospital View Way Ste 2
Clermont, FL 34711

Phone

(352) 404-8072

Fax

(352) 404-8312

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Raul Carrillo 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

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Pulmonary and Sleep Disorders Clinic PAGroup PAC ID 9931122561, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 7)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: drraulcarrillo@lpasdcp-fl.direct.office.nextgen.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: rcarrillobislick562514@direct.shands.ufl.edu

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.

• Lake Pulmonary & Sleep Disorders Clinic P.a.

  • Pulmonary Disease Physician
  • Leesburg, FL
  • NPI 1962497545
  Medicare reassignment Care Compare group NPD
• Florida Lung Asthma and Sleep Specialists, P.a.

  • Pulmonary Disease Physician
  • Kissimmee, FL
  • NPI 1316228364
  Medicare reassignment NPD
• Pulmonary Practice of Orlando, P.a

  • Pulmonary Disease Physician
  • Orlando, FL
  • NPI 1902004161
  NPD
• Pulmonary Group of Central Florida, LLC

  • Pulmonary Disease Physician
  • Leesburg, FL
  • NPI 1346409802
  NPD (past)
• Respro Sleep

  • Sleep Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1013752310
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leesburg Regional Medical Center Inc

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881686541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL VIEW WAY STE 2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111926",
            "telephone_number": "352-404-8072",
            "fax_number": "352-404-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL VIEW WAY STE 2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-404-8072",
            "fax_number": "352-404-8312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 N. Hwy 271441",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "32159",
            "country_code": "US",
            "telephone_number": "352-391-1115",
            "fax_number": "352-391-5206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064645",
            "country_code": "US",
            "telephone_number": "407-515-8585",
            "fax_number": "407-515-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO-BISLICK",
        "first_name": "RAUL",
        "middle_name": "TADEO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME87534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267028300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253650100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "78798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "CARRILLO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caring Hearts at Work LLC
• Carla Talavera-Jordan D.M.D., P.a.
• Korie L Carlson, M.S.
• Amanda Carmosino, OTR/L
• Pedro J Carrasquillo
• Jose L Carrion, RPH
• Betty Carrol, LMHC
• Kirsten Carroll
• Steffanie Diana Carroll
• Kennedy Carter

• Pulmonary Disease Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.