Individual provider Active NPI

Robert R. Harriage, M. D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
National Provider Identifier
1427039619
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME46442 Issued in FL
Practice address
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone
(863) 688-2334
NPI assigned
Nov 7, 2005
Last updated
Aug 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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 ME46442 FL Primary

Addresses

Primary practice location

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Mailing address

PO Box 90609
Lakeland, FL 33804-0609
Phone (863) 688-2334

Other identifiers 2

IdentifierTypeStateIssuer
17650OtherFLBCBS
051294000MedicaidFL

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
I20060426000508 FL Practitioner - Diagnostic Radiology 1951311604 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Feb 1, 2016 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Apr 1, 2018 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital LP CurrentSince Apr 1, 2018 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
Lakeland Regional Health Systems, Inc. Past Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

2102 Trinity Oaks Blvd
#171
Trinity, FL 34655
Phone (727) 376-7734

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

635 1st St N
Ste 101
Winter Haven, FL 33881
Phone (863) 298-3512

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1427039619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90609",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338040609",
            "telephone_number": "863-688-2334",
            "fax_number": "863-577-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054542",
            "telephone_number": "863-688-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIAGE",
        "first_name": "ROBERT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME46442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17650",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051294000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.