Individual provider Active NPI

David Leonard Hunter, M.D.

  • Diagnostic Radiology Physician
  • Saint Cloud, FL
National Provider Identifier
1164426565
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME84383 Issued in FL
Practice address
1640 Prairie Oaks Dr
Saint Cloud, FL 34771-8877
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jun 13, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2000164006 MO
Diagnostic Radiology Physician 2085R0202X ME84383 FL Primary

Addresses

Primary practice location

1640 Prairie Oaks Dr
Saint Cloud, FL 34771-8877

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

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
I20170726001345 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1951293182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84383FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moberly Radiology & Imaging I, LLC Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
National Radiology Group of Arkansas, PLLC Diagnostic Radiology Past Accepting new patients
Randolph County Clinic Corp Diagnostic Radiology Past Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Delta Radiology Group, LLC Diagnostic Radiology PastSince May 4, 2004 Accepting new patients
Med Tel International Corporation Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
University Physicians Incorporated Past Accepting new patients

Networks

  • Freedom Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164426565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 PRAIRIE OAKS DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718877",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2000164006",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME84383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.