Individual provider Active NPI

Marcia A Radke, M.D.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1285768796
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114268 Issued in FL
Practice address
3251 N McMullen Booth Rd Ste 104
Clearwater, FL 33761-2022
Phone
(727) 799-0415
Fax
(813) 635-7941
NPI assigned
Mar 15, 2007
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME114268 FL Primary
Internal Medicine Physician 207R00000X 50538 WI
Internal Medicine Physician 207R00000X 57.009005 OH

Addresses

Primary practice location

3251 N McMullen Booth Rd Ste 104
Clearwater, FL 33761-2022

Mailing address

3251 N McMullen Booth Rd Ste 104
Clearwater, FL 33761-2022
Phone (727) 799-0415

Other practice location 1

3440 W Dr Mlk Blvd
Suite 203
Tampa, FL 33607-6214
Phone (813) 872-7737

Other identifiers 2

IdentifierTypeStateIssuer
009925400MedicaidFL
34795700MedicaidWI

Other names 1

  • Mrs. Marcia Ann Dolven Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20121017000274 FL Practitioner - Internal Medicine 3173615853 Reassigns benefits to 2 organizations
I20251231001002 AL Practitioner - Family Practice 3173615853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The DCH Healthcare AuthorityGroup PAC ID 8123924248, 11 clinicians

Practice addresses (Care Compare)

701 University Blvd E
Suite 211
Tuscaloosa, AL 35401-7431
Phone (205) 343-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114268FLMDInternal Medicine Physician
57.009005OHMDInternal Medicine Physician
50538WIMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Internal Medicine Current Accepting new patients
Baycare Urgent Care, LLC CurrentSince Dec 27, 2020 Accepting new patients
The DCH Health Care Authority CurrentSince Dec 1, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince May 1, 2015 Accepting new patients
Baycare Urgent Care, LLC CurrentSince Dec 27, 2020 Accepting new patients
Baycare Medical Group Pediatric Walk-in Care LLC Past Accepting new patients
Baycare Medical Group Pediatric Walk-in, LLC Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

701 University Blvd E
Ste 211
Tuscaloosa, AL 35401
Phone (205) 333-4300

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3251 N McMullen Booth Rd
Ste 104
Clearwater, FL 33761
Phone (727) 799-0415

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

3440 W Mlk Blvd
Ste 203
Tampa, FL 33607
Phone (813) 872-7737

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: marcia.radke.1@24583.direct.athenahealth.com
  • Direct secure messaging: marcia.radke@direct.mybaycare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1285768796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-799-0415",
            "fax_number": "813-635-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-799-0415",
            "fax_number": "813-635-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 W Dr Mlk Blvd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076214",
            "country_code": "US",
            "telephone_number": "813-872-7737",
            "fax_number": "813-443-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADKE",
        "first_name": "MARCIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114268",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50538",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.009005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009925400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34795700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "DOLVEN",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.