Individual provider Active NPI

Kevin R Murtagh, M.D.

  • Vascular & Interventional Radiology Physician
  • Winter Haven, FL
National Provider Identifier
1124217021
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME113500 Issued in FL
Practice address
529 E Central Ave
Winter Haven, FL 33880-3054
Phone
(863) 299-1155
Fax
(863) 299-1177
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME113500 FL Primary

Addresses

Primary practice location

529 E Central Ave
Winter Haven, FL 33880-3054

Mailing address

529 E Central Ave
Winter Haven, FL 33880-3054
Phone (352) 246-6227

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
I20120816000868 FL Practitioner - Diagnostic Radiology 2860648276 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

15517 Shorebird LN
Winter Garden, FL 34787-4379
Phone (386) 274-6143

2470 Bloomingdale Ave
Suite 115
Valrico, FL 33596-6403
Phone (727) 281-9390

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 348-6915

3001 W MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

3003 W Dr MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4826

3030 W MLK Blvd
Tampa, FL 33607-6308
Phone (813) 879-4730

3202 N Park Rd
Plant City, FL 33563-2026
Phone (813) 757-1200

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 443-7000

4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9216
Phone (819) 757-1200

4516 N Armenia Ave
Tampa, FL 33603-2732
Phone (813) 348-6900

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
87.68 of 100Reported as group
Quality
85.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Diagnostic Center LLC CurrentSince Jan 1, 2015 Accepting new patients
Baycare Outpatient Imaging LLC CurrentSince Apr 3, 2019 Accepting new patients
St Josephs Diagnostic Center LLC Current Accepting new patients
Stern, Drake, Isbell & Associates, PA CurrentSince Jan 1, 2015 Accepting new patients
St Joseph's Diagnostic Center LLC CurrentSince Jan 1, 2015 Accepting new patients
Baycare Outpatient Imaging LLC CurrentSince Apr 3, 2019 Accepting new patients
Radiology Imaging Associates, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

4516 N Armenia Ave
Tampa, FL 33603
Phone (813) 348-6900

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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 4

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": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1124217021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "352-246-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-299-1155",
            "fax_number": "863-299-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAGH",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME113500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.