Individual provider Active NPI

Vincent B Rowley, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1023081809
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME143420 Issued in FL
Practice address
1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone
(727) 825-1100
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036125011 IL
Diagnostic Radiology Physician 2085R0202X ME143420 FL Primary

Addresses

Primary practice location

1200 7TH Ave N
St Petersburg, FL 33705-1300

Mailing address

PO Box 919379
Orlando, FL 32891-9379
Phone (844) 453-1406

Other practice location 1

1201 5th Ave N Ste 105
St Petersburg, FL 33705-1410
Phone (727) 825-1100

Other identifiers 4

IdentifierTypeStateIssuer
105633500MedicaidFL
L8235OtherFLFL MEDICARE PTAN
KNCK6OtherFLFL BCBS
P02434141OtherFLFL RAILROAD MEDICARE

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
I20200310002214 FL Practitioner - Diagnostic Radiology 5799836987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of St Petersburg PA 26 clinicians
St Anthonys Professional Buildings and Services Inc 27 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 825-1100

900 Carillon Pkwy
Saint Petersburg, FL 33716-1115
Phone (727) 561-2340

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036125011ILMDDiagnostic Radiology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Radiology Associates of St. Petersburg PA Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
St. Anthony'S Professional Buildings & Services, Inc Current Accepting new patients

Locations

900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

1201 5th Ave N
Ste 105
St Petersburg, FL 33705

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 4

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1023081809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919379",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919379",
            "telephone_number": "844-453-1406",
            "fax_number": "772-621-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 5th Ave N Ste 105",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051410",
            "country_code": "US",
            "telephone_number": "727-825-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "VINCENT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036125011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME143420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105633500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE PTAN",
            "identifier": "L8235",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "KNCK6",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RAILROAD MEDICARE",
            "identifier": "P02434141",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.