Individual provider Active NPI

Naveen Bikkasani, MD

  • Diagnostic Radiology Physician
  • Brooksville, FL
National Provider Identifier
1073577672
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME92555 Issued in FL
Practice address
13470 Taft St
Brooksville, FL 34613
Phone
(352) 597-0016
Fax
(352) 597-0089
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 ME92555 FL Primary

Addresses

Primary practice location

13470 Taft St
Brooksville, FL 34613

Mailing address

13470 Taft St
Brooksville, FL 34613-6820
Phone (352) 597-0016

Other identifiers 1

IdentifierTypeStateIssuer
272265800MedicaidFL

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
I20050429000234 FL Practitioner - Diagnostic Radiology 0446299309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging Concepts PLGroup PAC ID 5597704627, 5 clinicians

Practice addresses (Care Compare)

13470 Taft St
Brooksville, FL 34613-6820
Phone (352) 597-0016

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
65.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92555FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging Concepts PL Diagnostic Radiology CurrentSince Mar 15, 2005 Accepting new patients

Locations

13063 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-0016

13470 Taft St
Brooksville, FL 34613
Phone (352) 597-0016

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1073577672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13470 TAFT ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136820",
            "telephone_number": "352-597-0016",
            "fax_number": "352-597-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 TAFT ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-597-0016",
            "fax_number": "352-597-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKKASANI",
        "first_name": "NAVEEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME92555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272265800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.