Individual provider Active NPI

Michael Joseph Ragusa, M.D.

  • Family Medicine Physician
  • Lewiston, NY
National Provider Identifier
1922334523
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME49575 Issued in FL
Practice address
941 Escarpment Dr
Lewiston, NY 14092-2021
Phone
(716) 297-9094
NPI assigned
Nov 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 127346 NY
Family Medicine Physician 207Q00000X ME49575 FL Primary

Addresses

Primary practice location

941 Escarpment Dr
Lewiston, NY 14092-2021

Mailing address

941 Escarpment Dr
Lewiston, NY 14092-2021
Phone (716) 297-9094

Other identifiers 1

IdentifierTypeStateIssuer
ME49575OtherFLMEDICAL LICENSE

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
I20160506000048 FL Order and Referring Only - General PracticePractitioner - Family PracticePractitioner - General Practice 1052610409

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49575FLMDFamily Medicine Physician
127346NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sami Abdel Sayed Raphael Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1922334523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 ESCARPMENT DR",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922021",
            "telephone_number": "716-297-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 ESCARPMENT DR",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922021",
            "telephone_number": "716-297-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "127346",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME49575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME49575",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.