Individual provider Active NPI

Avery J Knapp Jr., M.D.

  • Diagnostic Radiology Physician
  • Guaynabo, PR
National Provider Identifier
1255594289
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E6198 Issued in AR
Practice address
524 Tintillo Hills
Guaynabo, PR 00966
Phone
(415) 900-2000
NPI assigned
Jul 9, 2008
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 A104534 CA
Diagnostic Radiology Physician 2085R0202X E6198 AR Primary

Addresses

Primary practice location

524 Tintillo Hills
Guaynabo, PR 00966

Mailing address

3031 Jasmine CT
Delray Beach, FL 33483-4701
Phone (415) 900-2000

Other identifiers 2

IdentifierTypeStateIssuer
179157001MedicaidAR
200251220AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, MI, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150408002693 CA Practitioner - Diagnostic Radiology 7719031293 Reassigns benefits to 1 organization
I20150618000280 FL Practitioner - Diagnostic Radiology 7719031293 Reassigns benefits to 3 organizations
I20210219002064 MI Practitioner - Diagnostic Radiology 7719031293 Reassigns benefits to 1 organization
I20240402003458 DE Practitioner - Diagnostic Radiology 7719031293 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6198ARMDDiagnostic Radiology Physician
A104534CAMDDiagnostic Radiology Physician

Practice roles (60 of 82)

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 24, 2025 Accepting new patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Apr 22, 2021 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Mar 14, 2023 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Mar 26, 2024 Accepting new patients
Inmed Diagnostics Services of SC LLC CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 26, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 29, 2025 Accepting new patients
Cavery Services, LLC Current Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Apr 10, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Mar 1, 2023 Accepting new patients
Inmed Diagnostics Services of SC LLC CurrentSince Jan 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Jan 1, 2025 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Dec 5, 2024 Accepting new patients
Open Sided MRI of Las Vegas, LLC CurrentSince Apr 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 20, 2024 Accepting new patients
Beaumont MRI Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Mar 14, 2023 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Btdi JV, LLP CurrentSince Mar 1, 2023 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 9, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
Scltdi JV, LLC CurrentSince Mar 15, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 6, 2024 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Mar 14, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Mar 15, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 25, 2024 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince Jan 27, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Mar 1, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 22, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 22, 2024 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jan 2, 2025 Accepting new patients
Btdi JV LLP CurrentSince Apr 10, 2024 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince Mar 14, 2023 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Jul 1, 2023 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Apr 22, 2021 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 24, 2025 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 14, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Mar 1, 2023 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 30, 2023 Accepting new patients
Diagnostic Radiology Institute of Kansas City, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Mar 1, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Nov 25, 2024 Accepting new patients
Spirit Imaging Center LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Nov 24, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Mar 21, 2023 Accepting new patients
Expert Radiology Management Services LLC Current Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Coastline Imaging LLC Diagnostic Radiology CurrentSince Apr 24, 2022 Accepting new patients

Locations

501 Silverside Rd
Ste 135
Wilmington, DE 19809
Phone (302) 448-8698

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

2290 W Eau Gallie Blvd
Ste 104
Melbourne, FL 32935
Phone (321) 253-2700

1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565

882 S Kirkman Rd
Ste 103104
Orlando, FL 32811
Phone (407) 288-8160

2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414

2605 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 876-7200

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

27501 Woodward Ave
Ste B
Berkley, MI 48072
Phone (248) 220-3335

1625 Leonard St NE
Ste C
Grand Rapids, MI 49505
Phone (616) 288-9446

27301 Schoenherr Rd
Ste 100
Warren, MI 48088
Phone (586) 427-7226

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 83

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.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1255594289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 JASMINE CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834701",
            "telephone_number": "415-900-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 TINTILLO HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "415-900-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "AVERY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A104534",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E6198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179157001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.