NPIMap

Individual provider Active NPI

Enrique J Urrutia, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1396704789
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME47686 Issued in FL
Practice address
2700 University Square Drive
Radiology Associates of Tampa
Tampa, FL 33612-5513
Phone
(813) 251-5822
NPI assigned
Mar 22, 2006
Last updated
Jan 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X ME47686 FL
Diagnostic Radiology Physician 2085R0202X ME47686 FL Primary

Addresses

Primary practice location

2700 University Square Drive
Radiology Associates of Tampa
Tampa, FL 33612-5513

Mailing address

5155 W San Jose St
Tampa, FL 33629-6414
Phone (813) 289-2573

Other identifiers 3

IdentifierTypeStateIssuer
046804500MedicaidFL
HZ962ZOtherFLMEDICARE # FOR UF HEALTH SHANDS
118699MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Specialists of Sarasota PL Past Accepting new patients
Largo Radiology Consultants Past Accepting new patients
Radiology Associates of Tampa PA Nuclear Radiology Past Accepting new patients
Tower Imaging LLC Nuclear Radiology Past Accepting new patients
A1 Imaging of Ocala LLC PastSince Oct 1, 2016 Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Tampa Heart & Vascular Associates LLC Past Accepting new patients
Southwest Florida Emergency Management LLC Past Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1396704789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 W SAN JOSE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296414",
            "telephone_number": "813-289-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DRIVE",
            "address_2": "RADIOLOGY ASSOCIATES OF TAMPA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-251-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "ENRIQUE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME47686",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME47686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046804500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE # FOR UF HEALTH SHANDS",
            "identifier": "HZ962Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118699",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.