Elite Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ELITE IMAGING LLC

Doing business as

Akumin

Practice address

2020 Professional Center Dr
Orange Park, FL 32073-4461

Phone

(305) 692-2222

NPI assigned

Mar 29, 2012

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Kassa

Title

VP of Operations

Phone

(904) 515-0362

Specialties & licenses 1

Addresses

Other names 1

• Akumin Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, WA, NY, NC, VA, CA, NJ, TX, PA, MA, OH, GA, IN, TN, IL, AL, MN, VT, NV, AZ20 enrollments

Enrollment records 20

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888

  2466496880

  Same PAC ID
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319

  2466496880

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888

  O20050616000704, O20140409002451, O20140509000336, O20140509001023, O20140509001420, O20140519000553, O20140611000092, O20140611000768, O20140624000759, O20140625001106, O20150310002361, O20150630000249, O20150724011479, O20151124000816, O20

  Same enrollment
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319

  O20050616000704, O20140409002451, O20140509000336, O20140509001023, O20140509001420, O20140519000553, O20140611000092, O20140611000768, O20140624000759, O20140625001106, O20150310002361, O20150630000249, O20150724011479, O20151124000816, O20

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 263

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Gene Sanders, M.D.

  • Diagnostic Radiology Physician
  • Deerfield Beach, FL
  • NPI 1205818127

  VA

  Medicare reassignment Care Compare group NPD
• James K Cox Jr., M.D.

  • Diagnostic Radiology Physician
  • Maryville, TN
  • NPI 1952460131
  Medicare reassignment Care Compare group NPD
• Nirmaan Kaur Dayal, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1629431341

  WA

  Medicare reassignment Care Compare group NPD
• John William Duncan, M.D.

  • Neuroradiology Physician
  • New York, NY
  • NPI 1437426483
  Medicare reassignment Care Compare group NPD
• Johnathan Charles Hays, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
  • NPI 1366654162
  Medicare reassignment Care Compare group NPD
• Nayyer U Islam, MD

  • Diagnostic Radiology Physician
  • Woodstock, GA
  • NPI 1750361697
  Medicare reassignment Care Compare group NPD
• Peter J Kouveliotes, M.D.

  • Diagnostic Radiology Physician
  • Freehold, NJ
  • NPI 1144242686
  Medicare reassignment Care Compare group NPD
• Benjamin Jordan Meyer, M.D.

  • Diagnostic Ultrasound Physician
  • Zionsville, IN
  • NPI 1003043837
  Medicare reassignment Care Compare group NPD
• Paul Benjamin Rolen, M.D

  • Diagnostic Neuroimaging (Radiology) Physician
  • New York, NY
  • NPI 1306875067
  Medicare reassignment Care Compare group NPD
• Pranay Uppuluri, M.D.

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1396991451

  NJ

  Medicare reassignment Care Compare group NPD
• Derek Kurt Urban, MD

  • Diagnostic Radiology Physician
  • Lackland AFB, TX
  • NPI 1033197454

  TN

  Medicare reassignment Care Compare group NPD
• David B. Wagar, MD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
  • NPI 1528051000

  VT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1346516853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225406",
            "telephone_number": "954-577-6000",
            "fax_number": "954-577-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "305-692-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-515-0362"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akumin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Akumin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Demaris Eicens, COTA
• Pedro Arthur Eisenreich, MD
• Eva Eliassen, MD
• Elite Care Plus,LLC (Astoria Assisted Living Facility)
• Elite Healthcare Agency Inc.
• Elite Jay Comfort Home Care, LLC
• Elite Multiservice Center LLC
• Thomas Elledge Jr., PTA
• Mariah Ellery
• Karelis Elliott

• Diagnostic Radiology Physician in Orange Park, FL
• Providers in Orange Park, 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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.