Individual provider Active NPI

Soheil Sooudi, MD

  • Diagnostic Radiology Physician
  • Celebration, FL
National Provider Identifier
1225112378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME73258 Issued in FL
Practice address
502 Greenbrier Ave
Celebration, FL 34747-4647
Phone
(407) 566-8320
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME73258 FL Primary

Addresses

Primary practice location

502 Greenbrier Ave
Celebration, FL 34747-4647

Mailing address

502 Greenbrier Ave
Celebration, FL 34747-4647
Phone (407) 566-8320

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
I20040910000719 FL Practitioner - Diagnostic Radiology 2163499120 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Imaging of Southwest Florida, Inc.Group PAC ID 0143517276, 14 clinicians

Practice addresses (Care Compare)

23081 Harborview Rd
Port Charlotte, FL 33980-2153
Phone (941) 235-8762

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Memorial Hospital L P Current Accepting new patients
Medical MRI Group LLC CurrentSince Apr 20, 2012 Accepting new patients
Cyrus Diagnostic Imaging, Inc CurrentSince Jul 1, 2004 Accepting new patients
Suntree Endocrinology Current Accepting new patients
American Imaging of Southwest Florida,Inc Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Suntree Internal Medicine, LLC. CurrentSince Feb 14, 2019 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Oct 17, 2017 Accepting new patients
Cyrus Diagnostic Imaging Inc CurrentSince Jul 1, 2004 Accepting new patients
MRI Associates of Spring Hill, Inc CurrentSince Jul 15, 2004 Accepting new patients
MRI Associates of Crystal River CurrentSince Mar 10, 2022 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
Manatee Memorial Hospital LP CurrentSince Apr 1, 2016 Accepting new patients
Radiology Associates of Houston County Diagnostic Radiology Past Accepting new patients
Stand Up MRI of Tallahassee Inc Diagnostic Radiology PastSince Jun 1, 2008 Accepting new patients
Drew Medical Inc Past Accepting new patients
Health Diagnostics of Miami LLC Diagnostic Radiology Past Accepting new patients
Magnolia Surgery, PC Past Accepting new patients
Advanced Imaging of Port Charlotte Diagnostic Radiology PastSince Mar 18, 2017 Accepting new patients
Stand-Up MRI & Diagnostic Center Inc Diagnostic Radiology PastSince Jun 1, 2008 Accepting new patients
Stand Up MRI of Boca Raton Inc Diagnostic Radiology PastSince Jun 1, 2008 Accepting new patients

Locations

300 Riverside Dr E
Ste 1400
Bradenton, FL 34208
Phone (941) 749-0660

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

165 Waymont Ct
Lake Mary, FL 32746
Phone (407) 321-3012

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

23081 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 235-8762

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225112378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GREENBRIER AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474647",
            "telephone_number": "407-566-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GREENBRIER AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474647",
            "telephone_number": "407-566-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOUDI",
        "first_name": "SOHEIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME73258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.