Organization Active NPI

Excel Care Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1972017275
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME109000 Issued in FL
Legal business name
EXCEL CARE ORTHOPEDICS, PLLC
Practice address
300 Riverside Dr E Ste 1300
Bradenton, FL 34208-1022
Phone
(941) 870-2120
Fax
(941) 328-3595
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Dr. Rafat S Nashed, M.D.NPI 1902877830
Title
President/Physician
Phone
(941) 870-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME109000 FL Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 1300
Bradenton, FL 34208-1022

Mailing address

300 Riverside Dr E Ste 1300
Bradenton, FL 34208-1022
Phone (941) 870-2120

Other identifiers 1

IdentifierTypeStateIssuer
00421880MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180309001488 FL Part B Supplier - Clinic/Group Practice 8426319369 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1972017275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 1300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081022",
            "telephone_number": "941-870-2120",
            "fax_number": "941-325-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 1300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081022",
            "telephone_number": "941-870-2120",
            "fax_number": "941-328-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL CARE ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "NASHED",
        "authorized_official_first_name": "RAFAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "941-870-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME109000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00421880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.