Individual provider Active NPI

Arthur S Raptoulis, M.D.

  • Pediatric Cardiology Physician
  • Maitland, FL
National Provider Identifier
1942210984
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME0025455 Issued in FL
Practice address
557 N Wymore Rd
Suite 201
Maitland, FL 32751-4200
Phone
(407) 647-4890
Fax
(407) 647-8620
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME0025455 FL Primary

Addresses

Primary practice location

557 N Wymore Rd
Suite 201
Maitland, FL 32751-4200

Mailing address

1300 Sawgrass Corporate Pkwy
Suite 200
Sunrise, FL 33323-2823
Phone (800) 243-3839

Other identifiers 1

IdentifierTypeStateIssuer
056382000MedicaidFL

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
I20071204000384 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 6800985532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0025455FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Pediatric Cardiology CurrentSince Feb 1, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2019 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

790 Concourse Pkwy S
Maitland, FL 32751
Phone (321) 841-4601

60 W Gore St
Ste 210
Orlando, FL 32806
Phone (321) 422-0972

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220

Interoperability endpoints

  • Direct secure messaging: araptoulis25242@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1942210984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232823",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 N WYMORE RD",
            "address_2": "SUITE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514200",
            "telephone_number": "407-647-4890",
            "fax_number": "407-647-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPTOULIS",
        "first_name": "ARTHUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME0025455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056382000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.