Ralph Joseph Raffa, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME37459 Issued in FL

Practice address

1825 SE Tiffany Ave
Suite 104
Port St Lucie, FL 34952-7554

Phone

(772) 398-2233

Fax

(772) 398-2244

NPI assigned

Jun 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.75 of 100Reported as group

Quality

85

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 3)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Radiology Imaging Associates

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1083663686

  Diagnostic Radiology, FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1952345720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SE TIFFANY AVE",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527554",
            "telephone_number": "772-398-2233",
            "fax_number": "772-398-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SE TIFFANY AVE",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527554",
            "telephone_number": "772-398-2233",
            "fax_number": "772-398-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFA",
        "first_name": "RALPH",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME37459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "79783",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069326000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra P. Racanelli
• Radiant Recharge LLC
• Radiology Associates of the Treasure Coast PA Inc
• Radiology Imaging Associates
• Radpod FL PLLC
• Brianna Marie Ragosta, M.S., BCBA
• Diala Rahming
• Marchel Briana Rahming, PHARMD
• Benjamin Todd Raines, MD
• Sarah Elizabeth Rakes, MSW

• Diagnostic Radiology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.