NPIMap

Organization Active NPI

Diagnostic Centers of America LLP

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1083491237
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC CENTERS OF AMERICA LLP
Practice address
9350 Turkey Lake Rd Ste 100
Orlando, FL 32819-7316
Phone
(407) 363-2772
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan C Holman
Title
Special Assistant Secretary
Phone
(952) 513-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9350 Turkey Lake Rd Ste 100
Orlando, FL 32819-7316

Mailing address

5775 Wayzata Blvd Ste 400
St Louis Park, MN 55416-1271
Phone (866) 674-7933

Other practice location 1

809 COUNTY ROAD 466, Suite 400
Lady Lake, FL 32159
Phone (352) 753-2660

Other practice location 2

1640 N Maitland Ave Ste 1020
Maitland, FL 32751-3320
Phone (407) 363-2772

Other names 1

  • RAYUS Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080223000067 FL Part B Supplier - Clinic/Group Practice 0547174120 Receives reassigned benefits from 139 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Park, FL; West Palm Beach, FL; Wellington, FL; Palm Beach Gardens, FL; Oviedo, FL; Orlando, FL; Maitland, FL; Miami Beach, FL…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1083992Rayus Radiology9350 Turkey Lake Rd, Orlando, FL 32819Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Centers of America LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2863 S State Road 7
Ste 400
Wellington, FL 33414

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1083491237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161271",
            "telephone_number": "866-674-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 TURKEY LAKE RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197316",
            "telephone_number": "407-363-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 COUNTY ROAD 466, Suite 400",
            "address_purpose": "LOCATION",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "country_code": "US",
            "telephone_number": "352-753-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 N Maitland Ave Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327513320",
            "country_code": "US",
            "telephone_number": "407-363-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC CENTERS OF AMERICA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-513-6831"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAYUS Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.