Individual provider Active NPI

Lori Keith Taylor, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1376585596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME82488 Issued in FL
Practice address
332 Belleair Dr NE
St Petersburg, FL 33704-2437
Phone
(727) 423-7774
Fax
(727) 896-1682
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME82488 FL Primary

Addresses

Primary practice location

332 Belleair Dr NE
St Petersburg, FL 33704-2437

Mailing address

332 Belleair Dr NE
St Petersburg, FL 33704-2437
Phone (727) 423-7774

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
I20040804000447 FL Practitioner - Diagnostic Radiology 3779554654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Diagnostic Institute LTDGroup PAC ID 9638263338, 3 clinicians

Practice addresses (Care Compare)

3301 Usf Alumni Dr
Tampa, FL 33612-9413
Phone 8139723351231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Precise Ultrasound Inc CurrentSince Mar 31, 2004 Accepting new patients
Radiology Associates of St. Petersburg PA Diagnostic Radiology PastSince Sep 8, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
MRI-South Umberton Inc Diagnostic Radiology Past Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology Past Accepting new patients
Diagnostic Outpatient Centers of Ocala Inc Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Life Radiology LLC Past Accepting new patients

Locations

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

3301 Usf Alumni Dr
#K
Tampa, FL 33612

3301 Usf Alumni Dr
Tampa, FL 33612
Phone (813) 972-3351

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376585596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BELLEAIR DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042437",
            "telephone_number": "727-423-7774",
            "fax_number": "727-896-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BELLEAIR DR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042437",
            "telephone_number": "727-423-7774",
            "fax_number": "727-896-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LORI",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.