Individual provider Active NPI

Ronald David Laracuente Jr., MD

  • Pediatrics Physician
  • North Venice, FL
National Provider Identifier
1912583741
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME168330 Issued in FL
Practice address
5500 Pinebrook Rd Ste 201
North Venice, FL 34275-3749
Phone
(941) 261-0200
NPI assigned
Mar 22, 2021
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME168330 FL Primary

Addresses

Primary practice location

5500 Pinebrook Rd Ste 201
North Venice, FL 34275-3749

Mailing address

5500 Pinebrook Rd Ste 201
North Venice, FL 34275-3749
Phone (941) 261-0200

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
I20240730004574 FL Practitioner - Pediatric Medicine 2365989076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Columbia University College of Physicians and Surgeons, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239-3509

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

1921 Waldemere St
Sarasota, FL 34239-2941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168330FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Pediatrics CurrentSince Sep 16, 2024 Accepting new patients
SMH Physician Services Inc PastSince Sep 29, 2024 Accepting new patients
Sarasota County Public Hospital District PastSince Sep 29, 2024 Accepting new patients

Locations

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Interoperability endpoints

  • Direct secure messaging: rlaracuente28517@direct.bostonchildrens.org
  • Direct secure messaging: ronald.laracuente@fpg.directbygreenway.com

Organizations & group practices 3

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1912583741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 PINEBROOK RD STE 201",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342753749",
            "telephone_number": "941-261-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 PINEBROOK RD STE 201",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342753749",
            "telephone_number": "941-261-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARACUENTE",
        "first_name": "RONALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME168330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Venice, FL

Sources for this page

Verify at the official NPI Registry.