NPIMap

Individual provider Active NPI

Ariel David Prager, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1164698650
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME116136 Issued in FL
Practice address
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Phone
(813) 899-6220
Fax
(813) 985-8006
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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 ME116136 FL Primary
Neuroradiology Physician 2085N0700X ME116136 FL

Addresses

Primary practice location

100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318

Mailing address

100 South Ashley Drive.
Suite 1500
Tampa, FL 33602-5318
Phone (813) 899-6220

Other identifiers 1

IdentifierTypeStateIssuer
008830300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000760 FL Practitioner - Diagnostic Radiology 3678722253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

3307 W Barcelona St
Tampa, FL 33629-7103
Phone (904) 399-5550

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (904) 399-5550

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
ME116136FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Jan 26, 2021 Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients
Largo Radiology Consultants Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients

Locations

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 5

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1164698650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE.",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ASHLEY DRIVE",
            "address_2": "SUITE 1500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025318",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "ARIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME116136",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME116136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008830300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.