Individual provider Active NPI

Melissa Y Kwan

  • Diagnostic Radiology Physician
  • Aventura, FL
National Provider Identifier
1396163978
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME143959 Issued in FL
Practice address
17501 Biscayne Blvd Ste 540
Aventura, FL 33160-4806
Phone
(888) 972-9864
NPI assigned
Apr 1, 2014
Last updated
Jun 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101267041 VA
Diagnostic Radiology Physician 2085R0202X ME143959 FL Primary

Addresses

Primary practice location

17501 Biscayne Blvd Ste 540
Aventura, FL 33160-4806

Mailing address

1360 Seabay Rd
Weston, FL 33326-3326

Other practice location 1

1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 243-6888

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-2455
Phone (434) 297-5055

Other practice location 3

1215 Lee St
Charlottesville, VA 22908-2455
Phone (434) 924-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20190801002442 VA Practitioner - Diagnostic Radiology 6709005036 Reassigns benefits to 3 organizations
I20200518001234 FL Practitioner - Diagnostic Radiology 6709005036 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Imaging LLCGroup PAC ID 2466496880, shared by 3 NPIs, 126 clinicians
Goldoro Developments IncGroup PAC ID 3375902380, 6 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

10950 Pines Blvd
Pembroke Pines, FL 33026-5208
Phone (954) 430-2044

1215 Dunn Ave a
Jacksonville, FL 32218-6330
Phone (904) 696-8400

13787 Belcher Rd S
Suite 300
Largo, FL 33771-4065
Phone (727) 531-5444

1503 W Oak St
Kissimmee, FL 34741-4065
Phone (407) 847-8864

1799 S Federal Hwy
Boca Raton, FL 33432-7412
Phone (561) 686-0506

1799 W Oakland Park Blvd
Suite 105
Oakland Park, FL 33311-1537
Phone (954) 777-3466

2019 Farringdon Rd
Keswick, VA 22947-9202
Phone (754) 206-6198

2144 Duck Slough Blvd
Suite 102
Trinity, FL 34655-5009
Phone (727) 375-8880

2229 N Commerce Pkwy
Suite150
Weston, FL 33326-3284
Phone (954) 349-0054

2488 Poinciana LN
Weston, FL 33327-1419
Phone (480) 306-6949

2625 Tamiami TRL
Port Charlotte, FL 33952-6403
Phone (305) 692-2223

27708 Cashford Cir
Wesley Chapel, FL 33544-6961
Phone (813) 536-2880

2999 NE 191St St
Suite 103
Aventura, FL 33180-3115
Phone (305) 692-2222

3347 S State Rd 7
100 Akumin Wellington
Wellington, FL 33449-8148
Phone (561) 795-5558

3451 66TH St NB
St Petersburg, FL 33710-1568
Phone (727) 347-4674

3601 Pga Blvd
Suite 100
Palm Beach Gardens, FL 33410-2711
Phone (561) 496-6935

3615 Lake Ctr Dr
Mount Dora, FL 32757-2364
Phone (352) 405-4545

3800 Johnson St
Suite B
Hollywood, FL 33021-6030
Phone (954) 964-3800

400 Arthur Godfrey Rd
Suite 104
Miami Beach, FL 33140-3523
Phone (305) 692-2222

4133 Woodlands Pkwy
Palm Harbor, FL 34685-3462
Phone (727) 781-3888

4461 N Federal Hwy
Oakland Park, FL 33308-5201
Phone (954) 492-8151

4551 4TH St N
St Petersburg, FL 33703-4730
Phone (727) 525-3800

4765 SW 148TH Ave
Suite 401
Davie, FL 33330-2128
Phone (954) 734-1333

5051 S Congress Ave
Akumin Lake Worth
Lake Worth, FL 33461-4704
Phone (561) 795-5558

6808 N State Rd
Suite 7
Coconut Creek, FL 33073-4304
Phone (954) 570-5560

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143959FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jun 24, 2019 Accepting new patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 25, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince May 8, 2020 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 8, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 25, 2021 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
Foot Ankle and Knee MRI LLC Diagnostic Radiology CurrentSince Apr 20, 2021 Accepting new patients
Rose Radiology Centers, LLC CurrentSince May 1, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Apr 11, 2024 Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
National Nuclear Centers, Inc CurrentSince Dec 5, 2020 Accepting new patients
Goldoro Developments Inc Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Past Accepting new patients
Howard John Simon MD PC Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

1799 S Federal Hwy
Boca Raton, FL 33432
Phone (561) 210-9568

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

4224 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 966-3600

9620 Stirling Rd
Unit 111
Hollywood, FL 33024
Phone (754) 201-1027

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

7520 SW 57th Ave
Ste A
South Miami, FL 33143
Phone (786) 318-6335

10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400

1240 Lee St
Charlottesville, VA 22908

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1396163978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SEABAY RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 540",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806",
            "telephone_number": "888-972-9864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080817",
            "country_code": "US",
            "telephone_number": "434-243-6888",
            "fax_number": "434-243-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082455",
            "country_code": "US",
            "telephone_number": "434-297-5055",
            "fax_number": "434-244-9489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229082455",
            "country_code": "US",
            "telephone_number": "434-924-9400",
            "fax_number": "434-243-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWAN",
        "first_name": "MELISSA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101267041",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME143959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.