Individual provider Active NPI

Paul Richard Billeaud

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1073710943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.28045 Issued in AL
Practice address
2451 Fillingim St
Mastin 315
Mobile, AL 36617-2238
Phone
(251) 471-7866
NPI assigned
Jul 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD.28045 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Mastin 315
Mobile, AL 36617-2238

Mailing address

8234 Gardenia CT
Daphne, AL 36526-4383
Phone (251) 625-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100723000140 LA Practitioner - Diagnostic Radiology 8729110978 Reassigns benefits to 1 organization
I20231228001426 FL Practitioner - Diagnostic Radiology 8729110978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

101 Ave O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7010

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

2301 60TH St CT W
Suite C
Bradenton, FL 34209-5512
Phone (941) 708-8358

250 2ND St E
1B
Bradenton, FL 34208-1029
Phone (941) 747-3034

635 1St St N
Suite 101
Winter Haven, FL 33881-4129
Phone (863) 298-3512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.28045ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 2, 2025 Accepting new patients
Ogh Imaging, LLC CurrentSince Jun 1, 2021 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 2, 2025 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 2, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
Precision Radiology Management of Louisiana LLC Diagnostic Radiology Past Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients
University of South Alabama, Dept of Radiology Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations (25 of 34)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 557-0303

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-6809

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

206 W Alexander St
Ste 1
Plant City, FL 33563
Phone (813) 750-1724

301 N Alexander St
Plant City, FL 33563
Phone (813) 757-1200

6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 18

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 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073710943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 GARDENIA CT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264383",
            "telephone_number": "251-625-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MASTIN 315",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLEAUD",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.28045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.