TYANA RAYNOR D.O.
NPI 1346687811
Student in an Organized Health Care Education/Training Program in Riverhead, NY

Active since May 23, 2013PECOS EnrolledAccepts Medicare Assignment
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6446(631) 727-0772 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tyana Raynor D.o. NPPES

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

TYANA RAYNOR D.O. (NPI 1346687811) is an individual student in an organized health care education/training program in Riverhead, New York and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Philadelphia College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1346687811
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTYANA RAYNORCredential: D.O.
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927
Fax(631) 727-0772
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 23, 2013
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1346687811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License OS18820 (FL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 05370 (KY)
1300 ROANOKE AVE, Riverhead, NY 11901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyana Raynor D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870962863
PECOS Enrollment IDI20221227000625
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 Reassignments

2

Medicare enrollment records show Tyana Raynor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
960 RINEHART RD STE 1000
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida and New York enrollments
  • 433 clinicians in this Medicare group
Diagnostic Radiology
601 E ROLLINS STREET
Orlando, FL 32803
  • Reassigned Medicare billing, Florida, Kentucky and New York enrollments
  • 428 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

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 Tyana Raynor's NPI number?

The NPI number for Tyana Raynor is 1346687811. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Where is Tyana Raynor located?

Tyana Raynor practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6446.

What is Tyana Raynor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyana Raynor enrolled in Medicare?

Yes. Tyana Raynor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tyana Raynor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyana Raynor reassigns Medicare benefits to 2 organizations: Florida Radiology Imaging At Lake Mary, LLC (Lake Mary, FL) and Florida Hospital Medical Group Inc (Orlando, FL). Each 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 Tyana Raynor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyana Raynor affiliated with any hospitals?

According to CMS data, Tyana Raynor is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Tyana Raynor was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.