Active NPI
Donald Edward Nies, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME95173
- Practice address
- 1800 Barrs St
Department of Radiology
Jacksonville, FL 32204-4704 - Phone
- (904) 388-1562
- Fax
- (904) 388-1841
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME95173 | FL | Primary |
Addresses
Primary practice location
1800 Barrs St
Department of Radiology
Jacksonville, FL 32204-4704
Mailing address
PO Box 7426
Jacksonville, FL 32238-0426
Phone (904) 388-1562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275927600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070207000660 | FL | Practitioner - Diagnostic Radiology | 6406881135 | Reassigns benefits to 4 organizations |
| I20240913002373 | AZ | Practitioner - Diagnostic Radiology | 6406881135 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sonoran Radiology LTDSouthwest Diagnostic Imaging LLC
Practice addresses (Care Compare)
11650 Horizon Rd
Parkland, FL 33076-2661
Phone (623) 299-8743
3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000
888 N Town and River Dr
Fort Myers, FL 33919-5912
Phone (480) 425-5000
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95173 | FL | MD | Diagnostic Radiology Physician |
Practice roles (14 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Hospital Grayling | Past | Accepting new patients | |
| Florida Hospital Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| St Johns Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Emma L. Bixby Medical Center | Past | Accepting new patients |
Locations (25 of 26)
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
1515 E Bethany Home Rd
Phoenix, AZ 85014
Phone (602) 812-3080
5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
9700 N 91st St
Ste C200
Scottsdale, AZ 85258
Phone (480) 425-5078
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258
3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900
4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191
4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- dnies188224@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
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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": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1265480321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7426",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322380426",
"telephone_number": "904-388-1562",
"fax_number": "904-388-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BARRS ST",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044704",
"telephone_number": "904-388-1562",
"fax_number": "904-388-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIES",
"first_name": "DONALD",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME95173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275927600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.