Active NPI
Mary Alderman, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME72835
- Practice address
- 3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252 - Phone
- (904) 399-5550
- Fax
- (904) 346-4334
- NPI assigned
- Jul 24, 2006
- Last updated
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME72835 | FL | Primary |
Addresses
Primary practice location
3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Mailing address
3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone (904) 399-5550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000943665B | Medicaid | GA | |
| 45096 | Other | FL | BCBS |
| 252452000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Florida College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577
1902 Hickory Trace Dr
Fleming Island, FL 32003-8390
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
- HCA Florida Memorial Hospital
- HCA Florida Orange Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72835 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medlink Management Services Inc | Past | Accepting new patients | |
| Doctors Imaging Group LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Services of Jacksonville LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lower Keys Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Shands Teaching Hospital and Clinics Inc | Past | Accepting new patients | |
| Cypress Health Systems Florida Inc. | Past | Accepting new patients |
Locations
1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087
14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010
3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1900 Tebeau St
Ste C
Waycross, GA 31501
Organizations & group practices 9
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1831461771
GA
-
dba Tri County Hospital - Williston
- Medicare Defined Swing Bed Hospital Unit
- Williston, FL
- NPI 1841481116
-
- Diagnostic Radiology Physician
- Gainesville, FL
- NPI 1134179989
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1154586964
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1336809557
-
dba Lake Butler Hospital
- Critical Access Hospital
- Lake Butler, FL
- NPI 1013972272
-
- Pharmacy
- Gainesville, FL
- NPI 1497645915
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center Nassau
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503273600000",
"number": "1093737306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "BUILDING 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "BUILDING 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDERMAN",
"first_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2017-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME72835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000943665B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45096",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252452000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.