Organization Active NPI

Radiology Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
National Provider Identifier
1063400729
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY IMAGING ASSOCIATES, LLC
Practice address
1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515
Phone
(386) 274-7118
Fax
(386) 274-6173
NPI assigned
Oct 7, 2005
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Al Falco
Title
Executive Administrator
Phone
(386) 274-7118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515

Mailing address

1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515
Phone (386) 274-6143

Other identifiers 1

IdentifierTypeStateIssuer
054456600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR, HI, AL, CA, UT, TN, VI, MA, GA, SC, MI, RI, PA, NC, NJ, VA, NY18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20040318000719 FL Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 191 practitioners
O20190829003441 PR Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR; Guaynabo, PR; Carolina, PR
O20190927000652 HI Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20200413003802 AL Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, AL
O20220325002206 CA Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 2 practitioners
Practice locations: Costa Mesa, CA; Encino, CA
O20230202002547 UT Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, UT; Ogden, UT
O20230407000147 TN Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 3 practitioners
Practice locations: Franklin, TN; Memphis, TN; Nashville, TN
O20240424001406 VI Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 12 practitioners
Practice locations: St Thomas, VI; St. Thomas, VI
O20240731002052 MA Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA
O20250411001158 GA Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 3 practitioners
Practice locations: Alpharetta, GA; Braselton, GA; Gainesville, GA; Marietta, GA
O20250417003131 SC Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC
O20250512002797 MI Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI
O20250825000568 RI Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI
O20260101000251 PA Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20260102000526 NC Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 1 practitioner
Practice locations: Winston Salem, NC
O20260102000915 NJ Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 2 practitioners
Practice locations: Haddonfield, NJ
O20260115000452 VA Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 2 practitioners
Practice locations: Charlottesville, VA; Forest, VA
O20260130000199 NY Part B Supplier - Clinic/Group Practice 2466342803 Receives reassigned benefits from 3 practitioners
Practice locations: Pittsford, NY; Valley Stream, NY; West Point, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 216

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 216

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1063400729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175515",
            "telephone_number": "386-274-6143",
            "fax_number": "386-274-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE",
            "address_2": "SUITE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175515",
            "telephone_number": "386-274-7118",
            "fax_number": "386-274-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY IMAGING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "386-274-7118"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054456600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.