Individual provider Active NPI

Darius Biskup, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1447458971
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME103658 Issued in FL
Practice address
3680 Broadway
Fort Myers, FL 33901-8005
Phone
(239) 936-2316
Fax
(239) 931-6365
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 244984 NY
Diagnostic Radiology Physician 2085R0202X D67244 MD
Diagnostic Radiology Physician 2085R0202X ME103658 FL Primary

Addresses

Primary practice location

3680 Broadway
Fort Myers, FL 33901-8005

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other identifiers 2

IdentifierTypeStateIssuer
017874800MedicaidMD
001138600MedicaidFL

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
I20090813000842 FL Practitioner - Diagnostic Radiology 6608943931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians

Practice addresses (Care Compare)

6600 University Pkwy
Suite 102
Lakewood Ranch, FL 34240-9040
Phone (239) 936-2316

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D67244MDMDDiagnostic Radiology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
M. R. Imaging Systems, Inc. CurrentSince Apr 1, 2010 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Jun 15, 2022 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Locations

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 1

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1447458971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-931-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-931-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISKUP",
        "first_name": "DARIUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "244984",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D67244",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME103658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017874800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001138600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.