Southeast Medical Imaging Services Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTHEAST MEDICAL IMAGING SERVICES INC

Practice address

4800 Linton Blvd Ste D503
Delray Beach, FL 33445-6593

Phone

(561) 865-3660

Fax

(561) 865-3661

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alexis F Cruz, RDMS

Title

President

Phone

(561) 865-3660

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Networks

• HealthSun Health Plans Network

Practitioners 8

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

• Ronald Larry Blankstein, MD

  • Cardiovascular Disease Physician
  • Delray Beach, FL
  • NPI 1720044290
  NPD
• John A Disilvestro, MD

  • Cardiovascular Disease Physician
  • Boca Raton, FL
  • NPI 1942307905
  NPD
• Joseph Freedman, M.D., MBA

  • Cardiovascular Disease Physician
  • Cape Coral, FL
  • NPI 1801061890
  NPD
• Marc Ryan Kalis, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1477754349
  NPD
• Jay Matthew Rosenberg, M. D

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1679758197
  NPD
• Gerard J Sais, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1902862550
  NPD
• John Patrick Shoosmith, M.D

  • Diagnostic Radiology Physician
  • Stuart, FL
  • NPI 1598738924
  NPD
• Mark R Krakovitz, MD

  • Diagnostic Radiology Physician
  • Williston, ND
  • NPI 1922046242
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1124010855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "SUITE D-503",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-865-3660",
            "fax_number": "561-865-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE D503",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456593",
            "telephone_number": "561-865-3660",
            "fax_number": "561-865-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-865-3660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Palm Orthopedics P a
• South Palm Orthospine Institute
• Southeast Florida Physician Assistant Assoc. Inc
• Southeast Homecare Corporatoin
• Southeast Homecare LLC
• Southern Healthcare Services, LLC
• Southern Oasis BH, LLC
• Southern Palms Oasis, Inc.
• Kelly Southern
• Bencheda Souverain

• Radiology Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.