Individual provider Active NPI

Terry Fox, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1407275118
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME133861 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 854-4400
NPI assigned
Apr 9, 2014
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 ME133861 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229

Other practice location 1

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 472-6600

Other practice location 2

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

Other practice location 3

11750 SW 40th St
Miami, FL 33175-3530
Phone (305) 223-3000

Other practice location 4

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Other identifiers 5

IdentifierTypeStateIssuer
14637267OtherFLCAQH
Q00222982OtherFLFLORIDA RAILROAD MEDICARE
T1M3SOtherFLFLORIDA BLUE (BCBS)
112568700MedicaidFL
OJ369OtherFLFLORIDA MEDICARE

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
I20200521000676 FL Practitioner - Diagnostic Radiology 5597196873 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Radiologists, P.a.Group PAC ID 9537141338, 25 clinicians
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 262-1140

201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 946-2113

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 946-2113

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

616 Tiziano Ave
Coral Gables, FL 33143-6362
Phone (305) 854-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
North Broward Radiologists, P.a. Diagnostic Radiology CurrentSince Mar 11, 2026 Accepting new patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Florida Neurology Group P L CurrentSince Sep 29, 2020 Accepting new patients

Locations

636 Del Prado Blvd S
Ste 4
Cape Coral, FL 33990
Phone (239) 424-2318

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

12670 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 936-3554

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

Networks

  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1407275118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-472-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "954-475-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-682-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME133861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14637267",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA RAILROAD MEDICARE",
            "identifier": "Q00222982",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE (BCBS)",
            "identifier": "T1M3S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112568700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICARE",
            "identifier": "OJ369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.