Individual provider Active NPI

Remo Raina, M.D.

  • Legal Medicine
  • Port Saint Lucie, FL
National Provider Identifier
1972756765
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME101124 Issued in FL
Practice address
1701 SE Hillmoor Dr
Suite 4
Port Saint Lucie, FL 34952-7552
Phone
(772) 240-9485
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X ME101124 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr
Suite 4
Port Saint Lucie, FL 34952-7552

Mailing address

1930 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5509
Phone (772) 335-3184

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
I20081121000389 FL Practitioner - Internal Medicine 0547320400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Associates IncGroup PAC ID 5890863401, 3 clinicians

Practice addresses (Care Compare)

1930 Port St Lucie Blvd
Port St Lucie, FL 34952-5509
Phone (772) 335-3184

1930 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5509

Hospital & facility affiliations

  • Anchor Home Health Services, LLC Home health agency, Stuart, FL, CCN 107747
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101124FLMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Associates Inc CurrentSince Sep 15, 2008 Accepting new patients

Locations

1930 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3184

1701 SE Hillmoor Dr
Ste 4
Port St Lucie, FL 34952
Phone (772) 240-9485

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 3

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1972756765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525509",
            "telephone_number": "772-335-3184",
            "fax_number": "772-335-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE 4",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-240-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "REMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME101124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.