Individual provider Active NPI

Katie Jo Lester, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1093804205
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME101234 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 ME101234 FL Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

2700 University Square Dr
Radiology Associates of Tampa
Tampa, FL 33612-5513
Phone (813) 251-5822

Other identifiers 2

IdentifierTypeStateIssuer
000275100MedicaidFL
118694MedicaidAL

Other names 1

  • Dr. Katie Jo Lasota Former name

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
I20090126000281 FL Practitioner - Diagnostic Radiology 5294899936 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

10621 Big Bend Rd
Riverview, FL 33579-7176
Phone 81325327211937

12955 E Wheeler Rd
Dover, FL 33527-5952
Phone (904) 399-5550

14499 N Dale Mabry Hwy
Suite 150
Tampa, FL 33618-2019
Phone 81325327211937

19027 Wingshooter Way
Lutz, FL 33558-4875
Phone (813) 485-8720

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2106 S Lois Ave
Tampa, FL 33629-5602
Phone 81325327211937

2115 Little Rd
Trinity, FL 34655-4410
Phone 81325327211937

2324 Oak Myrtle LN
Wesley Chapel, FL 33544-6319
Phone 81325327211937

3069 Grand Pavilion Dr
Tampa, FL 33613-3757
Phone 81325327211937

3350 Bell Shoals Rd
Brandon, FL 33511-7637
Phone 81325327211937

3862 Sun City Ctr Blvd
Sun City Center, FL 33573-6806
Phone 81325327211937

3870 Tampa Rd
Oldsmar, FL 34677-3133
Phone 81325327211937

427 S Parsons Ave
Suite 100
Brandon, FL 33511-5252
Phone 81325327211937

4719 N Habana Ave
Tampa, FL 33614-7105
Phone 81325327211937

5539 Marine Pkwy
New Port Richey, FL 34652-4329
Phone 81325327211937

7525 State Rd
Suite 52
Hudson, FL 34667-6716
Phone 81325327211937

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
University Medical Service Association Inc CurrentSince Jan 10, 2009 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 8, 2019 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
University Medical Service Association Inc Diagnostic Radiology CurrentSince Jan 10, 2009 Accepting new patients
Women'S Care Florida LLC CurrentSince Sep 1, 2017 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 10, 2009 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 10, 2009 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Past Accepting new patients

Locations

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2 Tampa General Cir
Fl 1
Tampa, FL 33606

3416 W Swann Ave
Tampa, FL 33609
Phone (813) 877-7680

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 11

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 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1093804205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "address_2": "RADIOLOGY ASSOCIATES OF TAMPA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-251-5822",
            "fax_number": "813-254-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "KATIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000275100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118694",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LASOTA",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.