Individual provider Active NPI

Paul David Ratcliff Jr., DO

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
National Provider Identifier
1275759565
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS15566 Issued in FL
Practice address
19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone
(855) 674-4624
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X W1666 TX
Diagnostic Radiology Physician 2085R0202X OS15566 FL Primary
Diagnostic Radiology Physician 2085R0202X 2315 WV
Diagnostic Radiology Physician 2085R0202X 1635845 MI

Addresses

Primary practice location

19621 Cochran Blvd
Port Charlotte, FL 33948-2070

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076

Other identifiers 1

IdentifierTypeStateIssuer
3810014803MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090807000406 WV Practitioner - Diagnostic Radiology 7517010523 Reassigns benefits to 2 organizations
I20210412001737 FL Practitioner - Diagnostic Radiology 7517010523 Reassigns benefits to 4 organizations
I20260410000845 TX Practitioner - Diagnostic Radiology 7517010523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
South Austin Family Practice Clinic, PLLCGroup PAC ID 3678564358, 64 clinicians

Practice addresses (Care Compare)

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1126 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061

1128 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 420-6105

1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690

11513 N Main St
Jacksonville, FL 32218-4002
Phone (904) 751-6200

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

14400 Tamiami TRL
Unit B
North Port, FL 34287-2703
Phone (941) 423-5056

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone (239) 458-3338

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

1659 US Hwy 27 N
Suite 102
Avon Park, FL 33825-2103
Phone (863) 657-0710

1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700

1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700

1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone (855) 674-4624

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

2227 US Hwy 27 S
Sebring, FL 33870-4936
Phone (863) 202-8100

2237 Lithia Ctr LN
Valrico, FL 33596-5676
Phone (813) 662-0123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15566FLMDDiagnostic Radiology Physician
1635845MIMDDiagnostic Radiology Physician
W1666TXMDDiagnostic Radiology Physician
2315WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 30, 2016 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Akumin Imaging Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Greenbrier Clinic Surgery Center Current Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Mar 13, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

6000 Turkey Lake Rd
Ste 10
Orlando, FL 32819
Phone (407) 514-1840

19621 Cochran Blvd
Port Charlotte, FL 33948
Phone (855) 674-4624

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

40823 Midland Trl E
Wht Sphr Spgs, WV 24986
Phone (304) 536-4870

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1275759565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482070",
            "telephone_number": "855-674-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 Eiger Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358982",
            "country_code": "US",
            "telephone_number": "512-892-7076",
            "fax_number": "855-270-9668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "W1666",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS15566",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "2315",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "1635845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014803",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.