Individual provider Active NPI

Laura Allen, M.D.

  • Diagnostic Radiology Physician
  • Key Largo, FL
National Provider Identifier
1447576228
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME146899 Issued in FL
Practice address
24 Shoreland Dr
Key Largo, FL 33037-4749
Phone
(904) 388-6949
NPI assigned
Apr 19, 2010
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A106066 CA
Diagnostic Radiology Physician 2085R0202X ME146899 FL Primary

Addresses

Primary practice location

24 Shoreland Dr
Key Largo, FL 33037-4749

Mailing address

PO Box 161180
Altamonte Springs, FL 32716-1180
Phone (904) 388-6949

Other practice location 1

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 388-6949

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
I20201130002341 FL Practitioner - Diagnostic Radiology 4587827134 Reassigns benefits to 3 organizations
I20250916001321 IL Practitioner - Diagnostic Radiology 4587827134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pco PCGroup PAC ID 5395179329, 82 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Key Largo, FL 33037
Phone (317) 614-9881

24 Shoreland Dr
Key Largo, FL 33037-4749
Phone (317) 614-9881

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
83.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106066CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Sep 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tyson, Schwab, Short & Weiss PSC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
Doctors McClow Clark & Berk PA Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219

1786 Blanding Blvd
Ste K2
Middleburg, FL 32068

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

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.

Hospital & facility affiliations 6

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1447576228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161180",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161180",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SHORELAND DR",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374749",
            "telephone_number": "904-388-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Shircliff Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044748",
            "country_code": "US",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A106066",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME146899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.