Individual provider Active NPI

O'Keith Dellafosse, M.D.

  • Diagnostic Radiology Physician
  • North Miami, FL
National Provider Identifier
1124453949
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME125957 Issued in FL
Practice address
2301 Laguna Cir
North Miami, FL 33181-1089
Phone
(305) 510-8624
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 ME125957 FL Primary

Addresses

Primary practice location

2301 Laguna Cir
North Miami, FL 33181-1089

Mailing address

101 Bodin Cir
60 MDG
Travis Afb, CA 94535-1809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190205003683 FL Practitioner - Diagnostic Radiology 6103102744 Reassigns benefits to 7 organizations
I20260414003900 DC Practitioner - Diagnostic Radiology 6103102744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
San Remo Breast and MRI Center PLLCGroup PAC ID 7315097052, 13 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1545 San Remo Ave
Coral Gables, FL 33146-3008
Phone (305) 403-4930

2700 Healing Way
Wesley Chapel, FL 33543-5453

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Specialists LLC Diagnostic Radiology CurrentSince Nov 25, 2025 Accepting new patients
Advanced Imaging Concepts PL Diagnostic Radiology CurrentSince Dec 5, 2025 Accepting new patients
Breast Care for Washington Diagnostic Radiology CurrentSince Nov 7, 2025 Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology PastSince Jun 6, 2021 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology PastSince Nov 7, 2025 Accepting new patients

Locations

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

1201 Sycamore Dr SE
Ste 400
Washington, DC 20032
Phone (202) 465-7164

13470 Taft St
Brooksville, FL 34613
Phone (352) 597-0016

1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003

1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565

2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414

Organizations & group practices 10

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1124453949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "60 MDG",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LAGUNA CIR",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811089",
            "telephone_number": "305-510-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAFOSSE",
        "first_name": "O'KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME125957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.