Individual provider Active NPI

Michael P O'Neill, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, FL
National Provider Identifier
1073504650
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME70230 Issued in FL
Practice address
212 N 2ND St
Leesburg, FL 34748-5103
Phone
(352) 435-0723
NPI assigned
Nov 2, 2005
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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 ME70230 FL Primary

Addresses

Primary practice location

212 N 2ND St
Leesburg, FL 34748-5103

Mailing address

212 N 2ND St
Leesburg, FL 34748-5103
Phone (352) 435-0723

Other identifiers 1

IdentifierTypeStateIssuer
254965402MedicaidFL

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
I20040205000523 FL Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6002709862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
ME70230FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spinecare Associates, LLC CurrentSince Aug 19, 2010 Accepting new patients
Pet LLC Current Accepting new patients
MRI Associates of Venice, LLC Diagnostic Radiology CurrentSince Jul 19, 2017 Accepting new patients
Navarre Open MRI LLC CurrentSince Jun 11, 2007 Accepting new patients
Professional Radiology Associates PA CurrentSince Jul 1, 2012 Accepting new patients
MRI Associates of Palm Harbor, Inc CurrentSince Jul 14, 2008 Accepting new patients
Professional Radiology Associates, PA Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
MRI Associates of Brandon, LLC Diagnostic Radiology CurrentSince Mar 8, 2023 Accepting new patients
Vymed Diagnostic Imaging Tampa LLC CurrentSince Sep 1, 2016 Accepting new patients
Open MRI of Pueblo, LLC CurrentSince Jul 16, 2016 Accepting new patients
Gainesville Open MRI Center Inc CurrentSince Oct 1, 2001 Accepting new patients
Professional Radiology Associates, P.a. Current Accepting new patients
MRI Associates of Lakeland, LLC Diagnostic Radiology CurrentSince Aug 17, 2023 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Drew Medical Inc Past Accepting new patients
Bay Area Imaging Solutions LLC Diagnostic Radiology PastSince Jul 1, 2004 Accepting new patients

Locations

2250 Drew St
Clearwater, FL 33765
Phone (813) 797-7463

4340 Newberry Rd
Ste 104
Gainesville, FL 32607
Phone (352) 240-6209

212 N 2nd St
Leesburg, FL 34748
Phone (352) 435-0723

1639 N Volusia Ave
Orange City, FL 32763
Phone (386) 774-7226

4634 Summerdale Blvd
Pace, FL 32571
Phone (850) 994-6702

4114 Woodlands Pkwy
Ste 302
Palm Harbor, FL 34685

6600 66th St N
Ste B
Pinellas Park, FL 33781
Phone (727) 471-1000

1700 66th St N
Ste 403
St Petersburg, FL 33710
Phone (727) 344-2355

10010 N Dale Mabry Hwy
Tampa, FL 33618
Phone (725) 937-6006

10010 N Dale Mabry Hwy
Ste 160
Tampa, FL 33618
Phone (813) 264-7176

Networks

  • Freedom Health HMO Network

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1073504650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485103",
            "telephone_number": "352-435-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485103",
            "telephone_number": "352-435-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME70230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254965402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.