Individual provider Active NPI

Mehdi Djekidel, MD

  • Nuclear Imaging & Therapy Physician
  • Tampa, FL
National Provider Identifier
1386857357
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
177362 Issued in FL
Practice address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone
(313) 310-5356
NPI assigned
May 7, 2007
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47906 CT
Internal Medicine Physician 207R00000X 4301084044 MI
Nuclear Medicine Physician 207U00000X 47906 CT
Nuclear Medicine Physician 207U00000X 4301084044 MI
Nuclear Imaging & Therapy Physician 207UN0902X 177362 FL Primary

Addresses

Primary practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

3463 Silent Gardens CV
Wesley Chapel, FL 33543-7464
Phone (313) 310-5356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20230213001080 NY Practitioner - Nuclear Medicine 0143374439 Reassigns benefits to 3 organizations
I20251229000359 FL Practitioner - Diagnostic Radiology 0143374439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356

27005 75TH Ave
New Hyde Park, NY 11040-1402

27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

4719 N Habana Ave
Tampa, FL 33614-7105
Phone 81325327211937

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47906CTMDInternal Medicine Physician
4301084044MIMDNuclear Medicine Physician
177362FLMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Faculty Medical Affiliates University Faculty Practice Corp Multi-Specialty CurrentSince Dec 6, 2022 Accepting new patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince Dec 6, 2022 Accepting new patients
Mori Bean and Brooks Inc Multi-Specialty CurrentSince Oct 4, 2025 Accepting new patients
Tower Imaging LLC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Mercy Specialty Services Multi-Specialty CurrentSince Jul 16, 2022 Accepting new patients
Tower Imaging LLC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Empire State Radiology P C Multi-Specialty Past Accepting new patients

Locations

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

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

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-9370

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

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mdjekidel68516@northwell.direct-ci.com
  • Direct secure messaging: mehdidjekidel@nslijmedgr.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1386857357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 SILENT GARDENS CV",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437464",
            "telephone_number": "313-310-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "313-310-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJEKIDEL",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "47906",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084044",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CT",
            "license": "47906",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301084044",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "FL",
            "license": "177362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.