NPIMap

Individual provider Active NPI

George T Puskar, MD

  • Diagnostic Radiology Physician
  • Vero Beach, FL
National Provider Identifier
1386641868
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME70710 Issued in FL
Practice address
3725 11TH CR
Vero Beach, FL 32960-4804
Phone
(772) 562-0163
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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 ME70710 FL Primary

Addresses

Primary practice location

3725 11TH CR
Vero Beach, FL 32960-4804

Mailing address

3725 11TH CR
Vero Beach, FL 32960-4804
Phone (772) 562-0163

Other identifiers 2

IdentifierTypeStateIssuer
250858300MedicaidFL
31600OtherFLBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000935 FL Practitioner - Diagnostic Radiology 0749277002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Indian River MRI IncGroup PAC ID 0446248363, 8 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

1850 37TH St
Vero Beach, FL 32960-4856
Phone (772) 562-3030

4355 2ND SQ SW
Vero Beach, FL 32968-2395
Phone (407) 200-2355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Sep 26, 2025 Accepting new patients
Indian River MRI Inc CurrentSince Apr 25, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

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

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

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1850 37th St
Vero Beach, FL 32960
Phone (772) 562-3030

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 6

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1386641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 11TH CR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 11TH CR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSKAR",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME70710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250858300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS &  BLUE SHIELD",
            "identifier": "31600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.