Individual provider Active NPI

Denise Sorget Kulesha, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1356374813
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME162402 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 35234 AZ
Nuclear Radiology Physician 2085N0904X 35234 AZ
Pediatric Radiology Physician 2085P0229X 35234 AZ
Radiation Oncology Physician 2085R0001X 35234 AZ
Diagnostic Radiology Physician 2085R0202X 35234 AZ
Therapeutic Radiology Physician 2085R0203X 35234 AZ
Vascular & Interventional Radiology Physician 2085R0204X 35234 AZ
Diagnostic Ultrasound Physician 2085U0001X 35234 AZ
Diagnostic Radiology Physician 2085R0202X ME162402 FL Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

PO Box 15638
Scottsdale, AZ 85267-5638
Phone (480) 728-3179

Other practice location 1

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (480) 728-3179

Other identifiers 1

IdentifierTypeStateIssuer
036103679MedicaidIL

Other names 1

  • Denise Sorget Hooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 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
I20201123002098 NV Practitioner - Diagnostic Radiology 6204861297 Reassigns benefits to 5 organizations
I20231208000672 FL Practitioner - Diagnostic Radiology 6204861297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89109
Phone (904) 399-5550

Las Vegas, NV 89135
Phone (813) 253-2721

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35234AZMDPediatric Radiology Physician
ME162402FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Body Imaging CurrentSince May 13, 2023 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Dec 15, 2020 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Nov 5, 2023 Accepting new patients
Tower Imaging LLC Nuclear Radiology CurrentSince Aug 1, 2023 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Shelin Agrawal and Hyer PLLC Nuclear Radiology CurrentSince Dec 15, 2020 Accepting new patients
Springfield Radiologists SC Pediatric Radiology Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology Past Accepting new patients

Locations (25 of 30)

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

427 S Parsons Ave
Ste 100
Brandon, FL 33511
Phone (813) 215-2080

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

5539 Marine Pkwy
New Pt Richey, FL 34652
Phone (727) 841-8225

3870 Tampa Rd
Oldsmar, FL 34677
Phone (352) 795-5628

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

17416 Brookside Trace Ct
Tampa, FL 33647
Phone (813) 660-6150

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1356374813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15638",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675638",
            "telephone_number": "480-728-3179",
            "fax_number": "480-821-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245605",
            "country_code": "US",
            "telephone_number": "480-728-3179",
            "fax_number": "480-821-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULESHA",
        "first_name": "DENISE",
        "middle_name": "SORGET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "35234",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME162402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HOOPER",
            "middle_name": "SORGET",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.