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DR. RAFAEL EUDARDO FRANJUL DIAZ MD
NPI 1972866291
Internal Medicine - Nephrology in Sebring, FL

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
4145 SUN N LAKE BLVD STE A, SEBRING, FL 33872(863) 546-0030(702) 369-3664 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Jan 27, 2021 (2 updates tracked since 2021).

About Dr. Rafael Eudardo Franjul Diaz Md NPPES

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

DR. RAFAEL EUDARDO FRANJUL DIAZ MD (NPI 1972866291) is an individual nephrology provider in Sebring, Florida, licensed in Florida (ME148282) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in East Meadow.

NPPES Registry Identity

NPI1972866291
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RAFAEL EUDARDO FRANJUL DIAZCredential: MD
Location Address4145 SUN N LAKE BLVD STE ASebring, FL 33872-2131
Mailing Address4145 Sun N Lake Blvd Ste ASebring, FL 33872-2131 · (863) 546-0030
Phone(863) 546-0030
Fax(702) 369-3664
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1972866291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in FL · ME148282✔ Licensed in NV · 17181
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4145 SUN N LAKE BLVD STE A, Sebring, FL 33872
Open in Google Maps ↗

Secondary Practice Location 1

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 572-0123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Eudardo Franjul Diaz Md 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 ID446660930
PECOS Enrollment IDI20210309003038
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,861 services399 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
299 services255 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services41 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
61 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services13 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

DR. NANCY ESTHER HOLDER M.D.
Internal Medicine (Pulmonary Disease)
4145 SUN N LAKE BLVD STE A
SEBRING, FL 33872
Highlands County (201) 640-0696
HIGHLANDS COMPREHENSIVE CRITICAL CARE, LLC
Internal Medicine
4145 SUN N LAKE BLVD STE A
SEBRING, FL 33872
Highlands County (201) 640-0696
HIGHLANDS NEPHROLOGY AND HYPERTENSION, LLC
Internal Medicine (Nephrology)
4145 SUN N LAKE BLVD STE A
SEBRING, FL 33872
Highlands County (863) 546-0030

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 Rafael Franjul Diaz's NPI number?

The NPI number for Rafael Franjul Diaz is 1972866291. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Rafael Franjul Diaz located?

Rafael Franjul Diaz practices at 4145 Sun N Lake Blvd Ste A, Sebring, FL 33872. The listed phone number is (863) 546-0030.

What is Rafael Franjul Diaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rafael Franjul Diaz enrolled in Medicare?

Yes. Rafael Franjul Diaz 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.

What insurance does Rafael Franjul Diaz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Rafael Franjul Diaz 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.

Is Rafael Franjul Diaz affiliated with any hospitals?

According to CMS data, Rafael Franjul Diaz is affiliated with Adventhealth Orlando, Hca Florida Highlands Hospital, Adventhealth Sebring and Hca Florida Lawnwood Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Franjul Diaz was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.