Individual provider Active NPI

Robert Marvin Freedy, M.D.

  • Diagnostic Radiology Physician
  • New Port Richey, FL
National Provider Identifier
1265470504
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0066628 Issued in FL
Practice address
5539 Marine Pkwy
New Port Richey, FL 34652-4329
Phone
(727) 841-8225
Fax
(727) 846-8549
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0066628 FL
Diagnostic Radiology Physician 2085R0202X 0066628 FL Primary

Addresses

Primary practice location

5539 Marine Pkwy
New Port Richey, FL 34652-4329

Mailing address

PO Box 1175
New Port Richey, FL 34656-1175
Phone (727) 841-8225

Other identifiers 1

IdentifierTypeStateIssuer
376986100MedicaidFL

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
I20110818000049 FL Practitioner - Diagnostic Radiology 7315116860 Reassigns benefits to 6 organizations
Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

12780 Race Track Rd
Suite 100
Tampa, FL 33626-1395
Phone (813) 749-7810

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7200

400 Pinellas St
Suite 101
Clearwater, FL 33756-3312
Phone (727) 462-7514

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0066628FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 6, 2019 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 2, 2026 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 2, 2026 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology CurrentSince Apr 24, 2024 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Radiology Associates of Clearwater Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Apr 24, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 6, 2019 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients

Locations

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

400 Pinellas St
Ste 101
Clearwater, FL 33756
Phone (727) 462-7514

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

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

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

13787 Belcher Rd S
Ste 300
Largo, FL 33771
Phone (727) 497-1674

2020 Professional Center Dr
Orange Park, FL 32073
Phone (800) 220-4661

4133 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 781-3888

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

7239 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418

4917 Clark Rd
Sarasota, FL 34233
Phone (941) 927-7711

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

4551 4th St N
St Petersburg, FL 33703
Phone (727) 525-3800

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

5107 N Armenia Ave
Bldg B
Tampa, FL 33603
Phone (813) 874-2999

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

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

27662 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 536-2880

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

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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 14

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1265470504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346561175",
            "telephone_number": "727-841-8225",
            "fax_number": "727-846-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524329",
            "telephone_number": "727-841-8225",
            "fax_number": "727-846-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDY",
        "first_name": "ROBERT",
        "middle_name": "MARVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0066628",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "0066628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376986100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.