Individual provider Active NPI

Lidia M Nagae, MD

  • Neuroradiology Physician
  • Tucson, AZ
National Provider Identifier
1356630974
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
58863 Issued in AZ
Practice address
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone
(520) 795-2889
NPI assigned
Apr 5, 2011
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 58863 AZ Primary
Neuroradiology Physician 2085N0700X DR.0052538 CO
Diagnostic Radiology Physician 2085R0202X MD436723 PA
Diagnostic Radiology Physician 2085R0202X ME133031 FL

Addresses

Primary practice location

677 N Wilmot Rd
Tucson, AZ 85711-2701

Mailing address

1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-1069

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7000

Other practice location 2

1501 N Campbell Ave
Tucson, AZ 85724-2545
Phone (215) 813-3050

Other identifiers 1

IdentifierTypeStateIssuer
022845300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, KY, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171209000294 FL Practitioner - Diagnostic Radiology 3476731324 Reassigns benefits to 4 organizations
I20191009003612 AZ Practitioner - Diagnostic Radiology 3476731324 Reassigns benefits to 2 organizations
I20241126001422 KY Practitioner - Diagnostic Radiology 3476731324 Reassigns benefits to 3 organizations
I20260610000304 OH Practitioner - Diagnostic Radiology 3476731324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Nicholasville Road MRI, LLCGroup PAC ID 5395718670, 23 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians
Proscan Radiology Northern Kentucky, LLCGroup PAC ID 9537417399, 32 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2463 Nicholasville Rd
Lexington, KY 40503-3158
Phone (859) 276-1022

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

568 Centre View Blvd
Crestview Hills, KY 41017-3425
Phone (859) 331-5300

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

6920 N Alvernon Way
Tucson, AZ 85718-2411
Phone (407) 200-2355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133031FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Proscan Radiology Northern Kentucky, LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 11, 2023 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Neuroradiology CurrentSince Sep 11, 2023 Accepting new patients
Nicholasville Road MRI, LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Neuroradiology CurrentSince Sep 11, 2023 Accepting new patients
Trustees of the University of Pennsylvania Family Medicine Past Accepting new patients
Univ of Penn Community Radiology Neuroradiology Past Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

568 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 331-5300

2463 Nicholasville Rd
Lexington, KY 40503
Phone (800) 642-6805

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lnagae1907802@adventhealth.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 7

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356630974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-795-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7000",
            "fax_number": "215-456-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857242545",
            "country_code": "US",
            "telephone_number": "215-813-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGAE",
        "first_name": "LIDIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "58863",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "DR.0052538",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD436723",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME133031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022845300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.