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AVE MARIA PRIMARY CARE, LLC
NPI 1962226381
Internal Medicine in Ave Maria, FL

Active since November 12, 2024
5080 ANNUNCIATION CIR UNIT 103, AVE MARIA, FL 34142(239) 322-0917(239) 658-5143 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ave Maria Primary Care, Llc NPPES

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

AVE MARIA PRIMARY CARE, LLC (NPI 1962226381) is a healthcare organization registered as an internal medicine in Ave Maria, Florida and active in the NPI registry since November 2024. The organization lists Carolina Mena, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962226381
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAVE MARIA PRIMARY CARE, LLC
Location Address5080 ANNUNCIATION CIR UNIT 103Ave Maria, FL 34142-9655
Mailing Address5080 Annunciation Cir Unit 103Ave Maria, FL 34142-9655 · (239) 322-0917 · Fax (239) 658-5143
Phone(239) 322-0917
Fax(239) 658-5143
Organization SubpartNo
Authorized OfficialCarolina MenaOffice Manager · (239) 322-0917
Enumeration DateNovember 12, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1962226381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X
5080 ANNUNCIATION CIR UNIT 103, Ave Maria, FL 34142
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ave Maria Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ave Maria Primary Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raul Enad, M.D.
Internal Medicine
NPI 1659342079
5080 ANNUNCIATION CIR UNIT 103
Ave Maria, FL 34142
(239) 322-0917
✔ PECOS✔ Accepts MedicareSame address

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

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 Ave Maria Primary Care, LLC's NPI number?

The NPI number for Ave Maria Primary Care, LLC is 1962226381. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is Ave Maria Primary Care, LLC located?

Ave Maria Primary Care, LLC is located at 5080 Annunciation Cir Unit 103, Ave Maria, FL 34142. The listed phone number is (239) 322-0917.

What is Ave Maria Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ave Maria Primary Care, LLC enrolled in Medicare?

Yes. Ave Maria Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ave Maria Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ave Maria Primary Care, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ave Maria Primary Care, LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.