Individual provider Active NPI

Eduardo Alejandro Lacayo, M.D.

  • Vascular & Interventional Radiology Physician
  • Sarasota, FL
National Provider Identifier
1174812697
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME147191 Issued in FL
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone
(813) 253-2721
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X 30054 NY
Vascular & Interventional Radiology Physician 2085R0204X ME147191 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-3572

Other practice location 1

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-3314

Other practice location 2

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-3572

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
I20201021000161 FL Practitioner - Diagnostic Radiology 1153651617 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Radpod FL PLLCGroup PAC ID 9133624745, 42 clinicians
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

1809 S Osprey Ave
Sarasota, FL 34239-3614
Phone (904) 399-5550

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

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (904) 399-5550

2412 Clematis St
Sarasota, FL 34239-4025
Phone (847) 637-8711

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (904) 399-5550

2565 S State Rd
Suite 7
Wellington, FL 33414-9368
Phone (561) 496-6935

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550

2820 NE 214TH St
Aventura, FL 33180-1268
Phone (786) 691-4151

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (904) 399-5550

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone (904) 399-5550

700 Medical Blvd
Englewood, FL 34223-3964
Phone (904) 399-5550

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
Suite 306
Sarasota, FL 34232-2473

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

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
30054NYMDVascular & Interventional Radiology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Multi-Specialty CurrentSince Aug 17, 2025 Accepting new patients
Tower Imaging LLC Multi-Specialty Current Accepting new patients
Radpod FL PLLC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Diagnostic Centers of America LLP Multi-Specialty CurrentSince Oct 15, 2025 Accepting new patients
Upson Medical Associates LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Diagnostic Centers of America LLP Multi-Specialty Past Accepting new patients
Boca Radiology Group PA Multi-Specialty Past Accepting new patients

Locations

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

Networks

  • Optimum HealthCare HMO Network

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 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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1174812697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-3572",
            "fax_number": "212-794-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "813-253-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-3314",
            "fax_number": "202-444-4899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "212-639-3572",
            "fax_number": "212-794-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACAYO",
        "first_name": "EDUARDO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "30054",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME147191",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.