Individual provider Active NPI

Paul Macchi, M.D.

  • Diagnostic Radiology Physician
  • Sarasota, FL
National Provider Identifier
1093759086
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME49083 Issued in FL
Practice address
4411 Bee Ridge Rd
#357
Sarasota, FL 34233
Phone
(941) 462-2696
Fax
(941) 462-2696
NPI assigned
Jun 16, 2006
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME49083 FL Primary

Addresses

Primary practice location

4411 Bee Ridge Rd
#357
Sarasota, FL 34233

Mailing address

4411 Bee Ridge Rd
#357
Sarasota, FL 34233
Phone (941) 462-2696

Other identifiers 1

IdentifierTypeStateIssuer
379374500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000526 FL Practitioner - Diagnostic Radiology 5991760415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

113 Rye Rd NE
William C Walker MD
Bradenton, FL 34212-9028
Phone (480) 306-6949

1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

4161 Tamiami TRL
BLDG 2
Port Charlotte, FL 33952-9204
Phone (941) 235-3280

5291 Cicerone St
Sarasota, FL 34238-2176
Phone (480) 306-6949

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

6250 Lake Osprey Dr
Suite 100
Lakewood Ranch, FL 34240-8423
Phone (941) 957-9340

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 31, 2022 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 31, 2022 Accepting new patients
New Century Radiologists LLC Diagnostic Radiology Current Accepting new patients
Columbia Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

4411 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-3201

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1093759086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEE RIDGE RD",
            "address_2": "#357",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-462-2696",
            "fax_number": "941-462-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BEE RIDGE RD",
            "address_2": "#357",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-462-2696",
            "fax_number": "941-462-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHI",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME49083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379374500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.