Individual provider Active NPI

Peter Bove, M.D.

  • Diagnostic Radiology Physician
  • Winter Park, FL
National Provider Identifier
1003884461
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0083368 Issued in FL
Practice address
1295 Orange Ave
Winter Park, FL 32789
Phone
(407) 628-5051
Fax
(407) 629-6096
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME0083368 FL Primary

Addresses

Primary practice location

1295 Orange Ave
Winter Park, FL 32789

Mailing address

PO Box 198207
Atlanta, GA 30384-8207
Phone (952) 542-8553

Other identifiers 1

IdentifierTypeStateIssuer
262673000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000003 FL Practitioner - Diagnostic Radiology 6406822014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

1640 N Maitland Ave
Suite 1020
Maitland, FL 32751-3320
Phone (407) 363-2772

809 County Rd
466 Suite 400
Lady Lake, FL 32159-4205
Phone (352) 753-2660

964 S Orlando Ave
Winter Park, FL 32789-4849
Phone (407) 628-5051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0083368FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Sep 5, 2001 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Aug 21, 2023 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Aug 21, 2023 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Sep 5, 2001 Accepting new patients

Locations

23071 State Road 7
Boca Raton, FL 33428
Phone (561) 477-6000

8142 Glades Rd
Boca Raton, FL 33434
Phone (561) 314-2500

1425 Gateway Blvd
Ste 100
Boynton Beach, FL 33426

1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

2565 S State Road 7
Wellington, FL 33414
Phone (561) 727-2300

2863 S State Road 7
Ste 400
Wellington, FL 33414

1572 Palm Beach Lakes Blvd
Ste 2
West Palm Beach, FL 33401

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

1295 Orange Ave
Winter Park, FL 32789
Phone (407) 628-5051

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1003884461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848207",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-628-5051",
            "fax_number": "407-629-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0083368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262673000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.