Individual provider Active NPI

Edward Keshishian, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1053842625
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME139374 Issued in FL
Practice address
17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone
(813) 259-8515
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 98203 GA
Diagnostic Radiology Physician 2085R0202X ME139374 FL Primary
Vascular & Interventional Radiology Physician 2085R0204X 98203 GA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

17 Davis Blvd
Suite 308
Tampa, FL 33606-3475

Mailing address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 250-2506

Other practice location 1

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI, GA, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220525001021 FL Practitioner - Diagnostic Radiology 5890173280 Reassigns benefits to 12 organizations
I20240524000813 VI Practitioner - Diagnostic Radiology 5890173280 Reassigns benefits to 1 organization
I20251204001281 GA Practitioner - Diagnostic Radiology 5890173280 Reassigns benefits to 1 organization
I20260226002234 SC Practitioner - Diagnostic Radiology 5890173280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians
Ocala Health Imaging Services LLCGroup PAC ID 8224217179, 48 clinicians
Medical Imaging Center of Ocala LLPGroup PAC ID 0345130787, 48 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Timberridge Imaging CenterGroup PAC ID 9436049863, 49 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

1194 SW 37TH Place Rd
Ocala, FL 34471-7232
Phone (706) 320-3210

13102 Wexford Hollow Rd N
Jacksonville, FL 32224-8648
Phone (904) 861-5370

1500 SW 5TH St
Ft Lauderdale, FL 33312-7507
Phone (706) 320-3210

2105 Hwy 44 W
Inverness, FL 34453-3805
Phone (352) 419-4818

2300 SE 17TH St
Suite 800
Ocala, FL 34471-9142
Phone (352) 690-8403

2315 SE 24TH Ave
Ocala, FL 34471-8356
Phone (706) 320-3210

339 Brandywine Dr
Valrico, FL 33594-3205
Phone (386) 274-7118

4616 SE 12TH Ave
Ocala, FL 34480-4755
Phone (813) 957-2083

6920 Jamestown Manor Dr
Riverview, FL 33578-8303
Phone (412) 720-3385

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

Paragon Med BLDG
103 52C a Estate Thomas
St Thomas, VI 00802-0001
Phone (340) 774-0265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98203GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 17, 2026 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Oct 28, 2025 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 17, 2026 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Jun 18, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1901 SE 18th Ave
Ste 200A
Ocala, FL 34471
Phone (352) 671-4252

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

2128 Park Ave
Orange Park, FL 32073
Phone (904) 264-9922

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: ekeshishian297073@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1053842625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-250-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD",
            "address_2": "SUITE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063475",
            "telephone_number": "813-259-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHISHIAN",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "98203",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME139374",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "98203",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.