Individual provider Active NPI

David Knipp, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1336567098
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
262897 Issued in MA
Practice address
55 Fruit St
Fnd216
Boston, MA 02114-2621
Phone
(617) 724-4255
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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 262897 MA Primary

Addresses

Primary practice location

55 Fruit St
Fnd216
Boston, MA 02114-2621

Mailing address

55 Fruit St
Fnd216
Boston, MA 02114-2621
Phone (617) 724-4255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200609002096 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698080422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

12780 Race Track Rd
Suite 100
Tampa, FL 33626-1395
Phone (813) 749-7810

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7200

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262897MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Diagnostic Center LLC Diagnostic Radiology CurrentSince Jan 23, 2022 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology Current Accepting new patients
Morton Plant Mease Health Services, Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Radiology Associates of Clearwater Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
St. Joseph'S Diagnostic Center, LLC. Diagnostic Radiology CurrentSince Jan 23, 2022 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients

Locations

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1336567098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FND216",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FND216",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPP",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "262897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.