Individual provider Active NPI

Josiah Bancroft, MD

  • Vascular & Interventional Radiology Physician
  • Venice, FL
National Provider Identifier
1083662316
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME0062120 Issued in FL
Practice address
512 Nokomis Ave S
Venice, FL 34285-2899
Phone
(941) 488-7781
Fax
(941) 486-8991
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME0062120 FL
Vascular & Interventional Radiology Physician 2085R0204X ME0062120 FL Primary

Addresses

Primary practice location

512 Nokomis Ave S
Venice, FL 34285-2899

Mailing address

PO Box 1508
Venice, FL 34284-1508
Phone (941) 488-7781

Other identifiers 1

IdentifierTypeStateIssuer
378055400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 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
I20080410000446 FL Practitioner - Diagnostic Radiology 0749367001 Reassigns benefits to 6 organizations
I20260501002645 AZ Practitioner - Diagnostic Radiology 0749367001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians
Radiology Associates of Venice and Englewood PAGroup PAC ID 8729039292, 9 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

3308 Higel Ave
Sarasota, FL 34242-1128
Phone (480) 425-5000

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

512 - 516 S Nokomis
Venice, FL 34285-3022
Phone (941) 486-3483

9659 Castle Way Dr
Windermere, FL 34786-8207
Phone (623) 299-8743

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Radiology Associates of Venice and Englewood PA Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Florida Hospital Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

900 Pine St
Englewood, FL 34223
Phone (941) 474-5093

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

512 Nokomis Ave S
Venice, FL 34285
Phone (941) 486-3483

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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.

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1083662316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841508",
            "telephone_number": "941-488-7781",
            "fax_number": "941-486-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852899",
            "telephone_number": "941-488-7781",
            "fax_number": "941-486-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCROFT",
        "first_name": "JOSIAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0062120",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME0062120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378055400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.