Individual provider Active NPI

Omeed Jazayeri-Moghaddas

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1184185720
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME152221 Issued in FL
Practice address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone
(813) 250-2529
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 ME152221 FL Primary

Addresses

Primary practice location

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Mailing address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

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
I20250624000890 FL Practitioner - Interventional Radiology 1456863604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Wright State University Boonshoft School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

101 Ave O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7010

635 1St St N
Suite 101
Winter Haven, FL 33881-4129
Phone (863) 298-3512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology PastSince Jun 1, 2021 Accepting new patients

Locations (25 of 32)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 687-1222

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

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

6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500

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

Networks

  • 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 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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1184185720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-250-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZAYERI-MOGHADDAS",
        "first_name": "OMEED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME152221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.