Raja R Talati, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 87361 Issued in FL

Practice address

1801 SE Hillmoor Dr Ste C-207
Port St Lucie, FL 34952-7574

Phone

(772) 742-9270

Fax

(772) 335-4236

NPI assigned

May 20, 2006

Last updated

Sep 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midway Primary Care LLCGroup PAC ID 8820386766, 5 clinicians

Midway Specialty Care Center IncGroup PAC ID 9638306087, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Midway Primary Care LLC

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1598114779
  Medicare reassignment Care Compare group NPD
• Midway Specialty Care Center Inc

  • Infectious Disease Physician
  • Fort Pierce, FL
  • NPI 1376970814
  Medicare reassignment Care Compare group NPD
• St Lucie Medical Center Walk-in Clinic LLC

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1851444350
  NPD (past)

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

• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation
• Pinnacle Home Care of the Palm Beaches, LLC.

  dba Pinnacle Home Care

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1285191825
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1942254412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S FEDERAL HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826381",
            "telephone_number": "772-742-9270",
            "fax_number": "772-772-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE C-207",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527574",
            "telephone_number": "772-742-9270",
            "fax_number": "772-335-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 E Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349827148",
            "country_code": "US",
            "telephone_number": "772-464-9746",
            "fax_number": "772-464-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALATI",
        "first_name": "RAJA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 87361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Tabar
• Anabel Tabares
• Lynn Tabet
• Sophia Taffe, PMHNP
• Tagrid Adili MD PA
• Chris Ann Tallbacka, OT
• Carrie Lynn Talluto, PHARM D.
• Ciara Grace Maderazo Tan
• Andrea Tang
• Tania McLean Adult & Geriatric Primary Care Services, LLC (Quality Wellness)

• Family Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.