Individual provider Active NPI

Donald Edward Nies, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1265480321
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME95173 Issued in FL
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

Updated by the provider on Aug 17, 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 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

IdentifierTypeStateIssuer
275927600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 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
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 LTDGroup PAC ID 3375964505, 466 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

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 Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95173FLMDDiagnostic Radiology Physician

Practice roles (14 of 16)

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 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

  • Direct secure messaging: dnies188224@direct.tgh.org
  • FHIR API: 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.

View all 14

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

Verify at the official NPI Registry.