1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Nurse Practitioner
  6. NPI Profile

RAUL VENTURA MSN, NP-C
NPI 1194027185
Nurse Practitioner - Family in Miami, FL

Active since November 23, 2010PECOS Enrolled
15411 SW 39TH TER, MIAMI, FL 33185(786) 229-6636(786) 206-3178 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2021, Feb 13, 2020, Nov 18, 2019 and 1 more (4 updates tracked since 2016).

About Raul Ventura Msn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAUL VENTURA MSN, NP-C (NPI 1194027185) is an individual family provider in Miami, Florida, licensed in Florida (11004925) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194027185
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAUL VENTURACredential: MSN, NP-C
Location Address15411 SW 39TH TERMiami, FL 33185-5418
Mailing Address15411 Sw 39th TerMiami, FL 33185-5418 · (786) 229-6636 · Fax (786) 206-3178
Phone(786) 229-6636
Fax(786) 206-3178
Sole ProprietorYes
Enumeration DateNovember 23, 2010
Last NPPES UpdateJuly 19, 20214 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1194027185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11004925
15411 SW 39TH TER, Miami, FL 33185
Open in Google Maps ↗

Other Identifiers 2

Medicaid11004925FL
Other11004925FL · Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Ventura Msn, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raul Ventura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

MD Care Medical Center LLC
13 mi
Health Service
2150 W 68TH ST STE 200
Hialeah Gardens, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1578446134 (305) 434-4546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33185 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRO F HERRERA
Massage Therapist
15411 SW 39TH TER
MIAMI, FL 33185
Miami-Dade County (305) 753-3035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raul Ventura's NPI number?

The NPI number for Raul Ventura is 1194027185. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Raul Ventura located?

Raul Ventura practices at 15411 SW 39th Ter, Miami, FL 33185. The listed phone number is (786) 229-6636.

What is Raul Ventura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Raul Ventura enrolled in Medicare?

Yes. Raul Ventura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raul Ventura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Ventura reassigns Medicare benefits to MD Care Medical Center LLC (Hialeah Gardens, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Ventura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Ventura accept?

Health plans from Oscar Health Maintenance Organization of Florida list Raul Ventura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raul Ventura was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.