Active NPI
Irving Radiology, Inc
- Diagnostic Radiology Physician
- Lehigh Acres, FL
National Provider Identifier
1346698669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME116259
- Legal business name
- IRVING RADIOLOGY, INC
- Practice address
- 1500 Lee Blvd
Lehigh Acres, FL 33936-4835 - Phone
- (239) 214-8187
- NPI assigned
- May 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Winston Dacosta Irving Jr., M.D.
- Title
- Owner
- Phone
- (646) 725-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME116259 | FL | Primary |
Addresses
Primary practice location
1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Mailing address
13690 Eagle Ridge Dr
Fort Myers, FL 33912-1864
Phone (239) 214-8187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161021001914 | FL | Part B Supplier - Clinic/Group Practice | 3971881178 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Myers, FL |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Monroe Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Bloomington, IN
- NPI 1184305526
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1336031871
-
- Diagnostic Radiology Physician
- East Liverpool, OH
- NPI 1760374292
Locations
4110 Center Pointe Dr
Ste 210
Fort Myers, FL 33916
204 E McKenzie St
Ste 8
Punta Gorda, FL 33950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1770739260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1346698669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13690 EAGLE RIDGE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339121864",
"telephone_number": "239-214-8187",
"fax_number": "877-334-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364835",
"telephone_number": "239-214-8187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRVING RADIOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-26",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "IRVING",
"authorized_official_first_name": "WINSTON",
"authorized_official_middle_name": "DACOSTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-725-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME116259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.