Individual provider Active NPI

Theodore L Raptis, M.D.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1972669836
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79934 Issued in FL
Practice address
600 S Dixie Hwy
Suite 102
Boca Raton, FL 33432-6034
Phone
(561) 368-5540
Fax
(561) 368-5788
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79934 FL Primary

Addresses

Primary practice location

600 S Dixie Hwy
Suite 102
Boca Raton, FL 33432-6034

Mailing address

638 Carriage Hill LN
Boca Raton, FL 33486-5602
Phone (561) 394-3368

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
I20110301000236 FL Practitioner - Internal Medicine 1153348883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600S Dixie Hwy 102
Boca Raton, FL 33432

600S Dixie Hwy 102
Boca Raton, FL 33432-6034
Phone (561) 368-5540

Hospital & facility affiliations

  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79934FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raptis Medicine M D P a Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients

Locations

600 S Dixie Hwy
Ste 103
Boca Raton, FL 33432
Phone (561) 395-1011

600 S Dixie Hwy
Ste 102
Boca Raton, FL 33432
Phone (561) 368-5540

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972669836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CARRIAGE HILL LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865602",
            "telephone_number": "561-394-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DIXIE HWY",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326034",
            "telephone_number": "561-368-5540",
            "fax_number": "561-368-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPTIS",
        "first_name": "THEODORE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "79934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.