NPIMap

Organization Active NPI

Radiology Imaging Associates

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
National Provider Identifier
1083663686
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY IMAGING ASSOCIATES
Practice address
1825 SE Tiffany Ave
Suite 104
Port St Lucie, FL 34952-7554
Phone
(772) 398-2233
Fax
(772) 380-0020
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Vijaya V Chundi, MDNPI 1124091558
Title
President
Phone
(772) 398-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1825 SE Tiffany Ave
Suite 104
Port St Lucie, FL 34952-7554

Mailing address

27034 Network PL
Chicago, IL 60673-1270
Phone (585) 241-6851

Other identifiers 6

IdentifierTypeStateIssuer
039279100MedicaidFL
060602200MedicaidFL
069326000MedicaidFL
051223100MedicaidFL
069259000MedicaidFL
069271900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20051111000067 FL Part B Supplier - Clinic/Group Practice 4587683214 Receives reassigned benefits from 14 practitioners
Practice locations: Stuart, FL; Jacksonville, FL; Port St Lucie, FL; Jupiter, FL; Panama City Beach, FL; Fort Pierce, FL
O20250801002249 NY Part B Supplier - Clinic/Group Practice 4587683214 Receives reassigned benefits from 2 practitioners
Practice locations: Jericho, NY; New York, NY; Rye, NY
O20260528001411 MD Part B Supplier - Clinic/Group Practice 4587683214 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD

National Provider Directory

National Provider Directory

Locations

2306 Nebraska Ave
Fort Pierce, FL 34950
Phone (772) 464-1650

1061 E Indiantown Rd
Ste 108
Jupiter, FL 33477
Phone (772) 398-2233

11380 SW Village Pkwy
Ste 200
Port St Lucie, FL 34987
Phone (772) 905-3589

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

1825 SE Tiffany Ave
Ste 104
Port St Lucie, FL 34952
Phone (772) 398-2233

835 SE Osceola St
Stuart, FL 34994
Phone (772) 219-4026

27034 Network Pl
Chicago, IL 60673

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1083663686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27034 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731270",
            "telephone_number": "585-241-6851",
            "fax_number": "585-387-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SE TIFFANY AVE",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527554",
            "telephone_number": "772-398-2233",
            "fax_number": "772-380-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "CHUNDI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-398-2233",
        "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": "039279100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060602200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069326000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051223100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069259000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069271900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.

Verify at the official NPI Registry.