Individual provider Active NPI

Dennis William Wulfeck, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1235156894
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME68218 Issued in FL
Practice address
3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone
(904) 399-5550
Fax
(904) 346-4334
NPI assigned
Jul 17, 2006
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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 ME68218 FL Primary
Diagnostic Radiology Physician 2085R0202X 49720 GA

Addresses

Primary practice location

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone (904) 399-5550

Other practice location 1

743 Spring St NE
Gainesville, GA 30501-3899
Phone (770) 219-9000

Other practice location 2

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other identifiers 3

IdentifierTypeStateIssuer
252242000MedicaidFL
00818595AMedicaidGA
32314OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090211000593 FL Practitioner - Diagnostic Radiology 6901700947 Reassigns benefits to 7 organizations
I20190205003740 GA Practitioner - Diagnostic Radiology 6901700947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

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

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

4507 Glen Kernan Pkwy E
Jacksonville, FL 32224-5628
Phone (404) 662-2438

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
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
49720GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 30, 2024 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 9, 2026 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Feb 9, 2026 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Imaging Services of Jacksonville LLC Diagnostic Radiology Past Accepting new patients
Lower Keys Radiology Inc Diagnostic Radiology PastSince Jan 2, 2022 Accepting new patients

Locations (25 of 41)

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 105
Jacksonville, FL 32207
Phone (904) 202-2901

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

3526 S Florida Ave
Lakeland, FL 33803
Phone (863) 400-4747

1430 Dale Mabry Hwy
Lutz, FL 33548
Phone (727) 313-0753

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

801 E Hillsborough Ave
Tampa, FL 33604
Phone (813) 512-4810

8951 Cypress Manor Dr
Tampa, FL 33647
Phone (813) 759-4920

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 12

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1235156894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013899",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WULFECK",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME68218",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "49720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252242000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00818595A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.