Rag Medical Clinic LLC
NPI 1528624053 · Addiction Medicine (Internal Medicine) Physician · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rag Medical Clinic LLC is a Addiction Medicine (Internal Medicine) Physician organization in Tampa, FL (NPI 1528624053).
Provider details
- NPI number
- 1528624053
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Gomez Fernandez, Administrator(813) 352-8305
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Phoenix Medical Clinic
Additional practice locations (1)
- 7519 Paula DrTampa, FL 33615-4113Phone: (813) 352-8305Fax: (813) 793-7380
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Rag Medical Clinic LLC's NPI number?
- Rag Medical Clinic LLC's National Provider Identifier (NPI) is 1528624053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rag Medical Clinic LLC?
- Rag Medical Clinic LLC is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Rag Medical Clinic LLC located?
- Rag Medical Clinic LLC's practice location on file with NPPES is 6408 N Armenia Ave Ste B-1, Tampa, FL 33604-5770.
- What is Rag Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Rag Medical Clinic LLC is (813) 352-8305.
- Does Rag Medical Clinic LLC accept Medicare?
- Rag Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rag Medical Clinic LLC?
- The authorized official listed on Rag Medical Clinic LLC's NPPES record is Ricardo Gomez Fernandez, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rag Medical Clinic LLC's NPI active?
- Yes — Rag Medical Clinic LLC's NPI (1528624053) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.