Individual provider Active NPI

Margo H Roca, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1114973542
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0064433 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
May 26, 2006
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 ME0064433 FL Primary

Addresses

Primary practice location

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

Mailing address

18451 Meyer Ave
Port Charlotte, FL 33948-8931
Phone (941) 628-9015

Other practice location 1

18451 Meyer Ave
Port Charlotte, FL 33948-8931
Phone (941) 628-9015

Other identifiers 1

IdentifierTypeStateIssuer
374910000MedicaidFL

Other names 1

  • Ms. Margo Nan Hirshman 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
I20050709000011 FL Practitioner - Diagnostic Radiology 1052204989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

18451 Meyer Ave
Port Charlotte, FL 33948-8931
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064433FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Dec 11, 2010 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Intercoastal Medical Group Inc CurrentSince Jan 5, 2023 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Dec 15, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 11, 2010 Accepting new patients
Radiology Partners Management, LLC Diagnostic Radiology Current Accepting new patients
Hillsborough Radiology Consultants, PL Diagnostic Radiology Past Accepting new patients
Central Florida Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Suncoast Advanced Radiology Associates Diagnostic Radiology PastSince Jul 1, 2002 Accepting new patients
Tampa Bay Radiology Associates PA Diagnostic Radiology PastSince May 17, 2020 Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Sara Radiology Diagnostic Radiology Past Accepting new patients

Locations

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

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

31075 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

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

19621 Cochran Blvd
Port Charlotte, FL 33948
Phone (855) 674-4624

2315 Aaron St
Port Charlotte, FL 33952
Phone (941) 613-2222

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

4130 Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 627-8080

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

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

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 844-4200

2716 University Square Dr
Tampa, FL 33612
Phone (813) 971-2050

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

250 Harrison St
Ste 100
Titusville, FL 32780
Phone (321) 268-6674

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1114973542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 MEYER AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339488931",
            "telephone_number": "941-628-9015",
            "fax_number": "941-766-9766"
        },
        {
            "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": [
        {
            "address_1": "18451 Meyer Ave",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339488931",
            "country_code": "US",
            "telephone_number": "941-628-9015",
            "fax_number": "941-766-9766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCA",
        "first_name": "MARGO",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0064433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374910000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "HIRSHMAN",
            "middle_name": "NAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.