Individual provider Active NPI

Andrew Scott Niekamp, MD

  • Vascular & Interventional Radiology Physician
  • Urbana, IL
National Provider Identifier
1437576626
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036178502 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2501
Phone
(217) 904-7000
Fax
(217) 904-7751
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036178502 IL Primary
Diagnostic Radiology Physician 2085R0202X 138929 FL

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2501

Mailing address

611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3311

Other practice location 1

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 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
I20190529000301 FL Practitioner - Diagnostic Radiology 6901128768 Reassigns benefits to 6 organizations
I20260318001050 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6901128768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1620 Nocatee Dr
Miami, FL 33133-2514
Phone (863) 902-3000

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138929FLMDDiagnostic Radiology Physician
036178502ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shi Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Advanced Multispecialty Medical Services LLC CurrentSince Feb 8, 2026 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
PVL Associates Inc Diagnostic Radiology CurrentSince Jul 3, 2020 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 9, 2026 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

1435 W 49th Pl
Ste 402
Hialeah, FL 33012
Phone (305) 907-8526

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

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

151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090

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

7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1437576626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-383-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-904-7000",
            "fax_number": "217-904-7751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-5991",
            "fax_number": "713-500-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEKAMP",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036178502",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "138929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.