Active NPI
Intellirad Imaging, LLC
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1073859484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- INTELLIRAD IMAGING, LLC
- Practice address
- 3663 S Miami Ave
Miami, FL 33133-4253 - Phone
- (305) 854-4400
- NPI assigned
- Dec 13, 2012
- Last updated
- Jul 5, 2022
- Organization subpart
- Yes
- Parent organization
- INTELLIRAD IMAGING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Joseph, MD
- Title
- Partner
- Phone
- (305) 712-7229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | FL | Primary |
Addresses
Primary practice location
3663 S Miami Ave
Miami, FL 33133-4253
Mailing address
PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003WY | Other | FL | FLORIDA BLUE |
| 007735100 | Medicaid | FL | |
| 007735101 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, HI, PA, DC, NC, TX, OH, AK, VA, AR, MI, NM, WA, MD
Enrollment records 15
National Provider Directory
National Provider Directory- Part of
- Intellirad Imaging LLC
Locations
1901 Ulmerton Rd
Ste 455
Clearwater, FL 33762
11760 SW 40th St
Ste 703
Miami, FL 33175
21000 NE 28th Ave
Ste 200-1
Miami, FL 33180
4610 Pea Ridge Connector Rd
Pace, FL 32571
Phone (850) 304-0600
8333 N Davis Hwy
#7
Pensacola, FL 32514
Practitioners & affiliated clinicians
Practitioners 98
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.
-
- Nurse Practitioner
- Miami, FL
- NPI 1164902722
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1003041930
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1366708083
-
- Neuroradiology Physician
- Miami, FL
- NPI 1710951561
-
- Vascular & Interventional Radiology Physician
- Sunrise, FL
- NPI 1699099531
-
- Nurse Practitioner
- Miami, FL
- NPI 1265997308
-
- Neurocritical Care Physician
- Aventura, FL
- NPI 1689830564
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1699930198
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1013459221
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1700486933
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437343464
-
- Neuroradiology Physician
- Boynton Beach, FL
- NPI 1609840453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656979200000",
"number": "1073859484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7623",
"city": "NAPLES",
"state": "FL",
"postal_code": "341017623",
"telephone_number": "305-712-7229",
"fax_number": "305-397-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 S MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334253",
"telephone_number": "305-854-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTELLIRAD IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTELLIRAD IMAGING, LLC",
"enumeration_date": "2012-12-13",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "305-712-7229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "003WY",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007735100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007735101",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
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- Intellirad Imaging, LLC
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- Intellirad Imaging, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.