NPIMap

Individual provider Active NPI

Rafael Eudardo Franjul Diaz, MD

  • Nephrology Physician
  • Sebring, FL
National Provider Identifier
1972866291
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME148282 Issued in FL
Practice address
4145 Sun N Lake Blvd Ste a
Sebring, FL 33872-2131
Phone
(863) 546-0030
Fax
(702) 369-3664
NPI assigned
Jun 21, 2012
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17181 NV
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X ME148282 FL Primary

Addresses

Primary practice location

4145 Sun N Lake Blvd Ste a
Sebring, FL 33872-2131

Mailing address

4145 Sun N Lake Blvd Ste a
Sebring, FL 33872-2131
Phone (863) 546-0030

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309003038 FL Practitioner - NephrologyPractitioner - Internal Medicine 0446660930 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Comprehensive Critical Care LLCGroup PAC ID 2567840689, 2 clinicians

Practice addresses (Care Compare)

3345 Medical Hill Rd
Sebring, FL 33870-5531
Phone (863) 546-0030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fabio Oliveros & Associates PA Nephrology CurrentSince May 3, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince May 27, 2022 Accepting new patients
Highlands Comprehensive Critical Care, LLC Nephrology CurrentSince Jan 6, 2023 Accepting new patients
Highlands Nephrology and Hypertension, LLC Nephrology CurrentSince Apr 21, 2024 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

130 Medical Center Ave
Sebring, FL 33870
Phone (863) 385-2606

3345 Medical Hill Rd
Sebring, FL 33870
Phone (863) 385-1700

4145 Sun N Lake Blvd
Ste A
Sebring, FL 33872
Phone (201) 640-0696

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1972866291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 SUN N LAKE BLVD STE A",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "863-546-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 SUN N LAKE BLVD STE A",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "863-546-0030",
            "fax_number": "702-369-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANJUL DIAZ",
        "first_name": "RAFAEL",
        "middle_name": "EUDARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "17181",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME148282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.