Michael D Pentaleri, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME78641 Issued in FL

Practice address

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214

Phone

(813) 875-3950

Fax

(813) 872-2741

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

91.5 of 100Reported as group

Quality

90

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.84 of 100Reported as group

Quality

95

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as group

Quality

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 59)

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.

• Colorado Imaging Associates P C

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1255306726

  FL

  Medicare reassignment Care Compare group NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962

  Diagnostic Radiology

  Medicare reassignment NPD
• Florida Department of Children and Families

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment NPD
• Radiology Associates of Tallahassee PA

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1003866773
  Medicare reassignment NPD
• Southeast Radiology Partners LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1932799814
  Medicare reassignment NPD
• Tallahassee Diag Imaging Ctr LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1639129521
  Medicare reassignment NPD
• Florida Department of Children and Families

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD
• Florida Department of Children and Families

  • Psychiatric Hospital
  • Chattahoochee, FL
  • NPI 1578895470
  NPD
• Pet LLC

  • Nuclear Radiology Physician
  • Pensacola, FL
  • NPI 1235148578
  NPD
• Cher, LLC

  • Diagnostic Radiology Physician
  • Aurora, CO
  • NPI 1649455536
  NPD
• Integrated Community Oncology Network LLC

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)
• Physicians for a Community United for Research and Education LLC

  • Nuclear Medicine Physician
  • Tallahassee, FL
  • NPI 1770721466

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1316904022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "392-748-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076214",
            "telephone_number": "813-875-3950",
            "fax_number": "813-872-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085304",
            "country_code": "US",
            "telephone_number": "850-878-4127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENTALERI",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME78641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00301196",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35376",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01130437",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259013100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAID",
            "identifier": "003156073A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "301630",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Penix, MD
• Gena Penland
• Heidi Coomer Pennella, OTR L
• Shawn Marie Pennington, LPMHNP
• Pensacola Care, Inc.
• Manuel Penton III, M.D.
• Morgan Rebecca Penton
• Maria Penuela
• People Choice Advocacy Center, LLC
• People'S Choice Supports & Services, Inc.

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.

Verify at the official NPI Registry.