Active NPI
Advanced Radiology Imaging Associates LLC
- Diagnostic Radiology Physician
- Ft Myers, FL
National Provider Identifier
1073591681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ADVANCED RADIOLOGY IMAGING ASSOCIATES LLC
- Practice address
- 13731 Metropolis Ave
Ft Myers, FL 33912-7150 - Phone
- (239) 454-2742
- Fax
- (239) 466-2742
- NPI assigned
- Jan 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saurin J Shah, MD
- Title
- Medical Director
- Phone
- (239) 454-2742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
13731 Metropolis Ave
Ft Myers, FL 33912-7150
Mailing address
13300-56 S. Cleveland Ave
PMB # 239
Fort Myers, FL 33907-7150
Phone (239) 454-2742
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201956300 | Medicaid | FL | |
| DE1300 | Other | FL | GROUP RAILROAD NUMBER |
National Provider Directory
National Provider DirectoryLocations
2721 Del Prado Blvd S
Ste 120
Cape Coral, FL 33904
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1073591681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13300-56 S. CLEVELAND AVE",
"address_2": "PMB # 239",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077150",
"telephone_number": "239-454-2742",
"fax_number": "239-466-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13731 METROPOLIS AVE",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339127150",
"telephone_number": "239-454-2742",
"fax_number": "239-466-2742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED RADIOLOGY IMAGING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SAURIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "239-454-2742",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201956300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP RAILROAD NUMBER",
"identifier": "DE1300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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- Advanced Pain Management Specialist
- Advanced Pain Management Specialists
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- Advanced Podiatry and Neuropathy Center LLC
- Advanced Psychiatric Care, PC
- Advanced Spine and Wellness Center, Inc
- Advanced Surgery Center of Fort Myers LLC
- Advanced Surgical Care of Fort Myers LLC
- Advanced Urology Institute LLC
- Advantage Private Nursing Services of FL, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.