Active NPI
Edward Keshishian, MD
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME139374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Northeast Georgia Medical Center, Inc
- Marion Communtiy Hospital
- Adventhealth Ocala
- Sovah Health Danville
- Tampa General Hospital Crystal River
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.28
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98203 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Health Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Danville Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| Inverness Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Timberridge Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Medical Imaging Center of Ocala LLP | Diagnostic Radiology | Current | Accepting new patients |
| St Thomas Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| St. Francis Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| DLP Twin County Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Medical Imaging Center of Ocala LLP | Diagnostic Radiology | Past | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- ekeshishian297073@direct.tgh.org
- 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.
-
- Diagnostic Radiology Physician
- Inverness, FL
- NPI 1093763591
-
dba Medical Imaging Center at Windsor Oaks
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1669469045
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1023318060
-
- Diagnostic Radiology Physician
- Daytona Beach, FL
- NPI 1063400729
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1669460473
-
dba Twin County Obstetrics & Gynecology
- Surgery Physician
- Galax, VA
- NPI 1033485925
Diagnostic Radiology, FL
-
- Internal Medicine Physician
- Daniel Island, SC
- NPI 1861253981
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
Diagnostic Radiology, FL
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
dba Tampa General Hospital Crystal River
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.