Active NPI
Mark S Girguis, MD
- Diagnostic Radiology Physician
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A82528
- Practice address
- 40946 US Highway 19 N # 101
Tarpon Springs, FL 34689-5446 - Phone
- (813) 720-7237
- Fax
- (888) 366-6013
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME112607 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 036166384 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | D79826 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | A82528 | CA | Primary |
Addresses
Primary practice location
40946 US Highway 19 N # 101
Tarpon Springs, FL 34689-5446
Mailing address
40946 US Highway 19 N # 101
Tarpon Springs, FL 34689-5446
Phone (813) 720-7237
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A825280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060630000212 | CA | Practitioner - Diagnostic Radiology | 1850303165 | Reassigns benefits to 5 organizations |
| I20130219000098 | FL | Practitioner - Diagnostic Radiology | 1850303165 | Reassigns benefits to 10 organizations |
| I20230914004167 | IL | Practitioner - Diagnostic Radiology | 1850303165 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Simonmed Imaging Florida LLCHoward Simon MD PLLCRadiology Imaging Specialists LLCThe Board of Trustees of the University of IllinoisCook CountyOcala Family Medical Center IncSaint Anthony Health AffiliatesResilience Healthcare - Lakefront Medical Associates LLCWest Hernando Diagnostic and Mr Center, IncHealth Diagnostics of California a Professional Corporation
Practice addresses (Care Compare)
14651 S Bascom Ave
120 Simonmed Imaging Los Gatos
Los Gatos, CA 95032-2004
Phone (408) 356-9013
1714 SW 17TH St
Suite 300
Ocala, FL 34471-1227
Phone (352) 274-9565
1740 W Taylor St
Chicago, IL 60612-7232
1801 W Taylor St
Chicago, IL 60612-4795
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
2230 SW 19TH Ave Rd
Ocala, FL 34471-1391
Phone (352) 237-4133
2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425
3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-2328
3315 Commercial Way
Spring Hill, FL 34606-2699
Phone (325) 688-5860
455 Hickey Blvd
Suite 200
Daly City, CA 94015-2630
Phone (650) 757-2030
665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800
Hospital & facility affiliations
- West Suburban Medical Center
- John H Stroger Jr Hospital
- Saint Anthony Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D79826 | MD | MD | Diagnostic Radiology Physician |
Practice roles (48 of 50)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hernando Diagnostic and M.R. Center, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sonotec Mobile Imaging Inc. | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current | Accepting new patients |
| Resilience Healthcare - Lakefront Medical Associates, LLC | Current | Accepting new patients | |
| Ocala Family Medical Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| West Hernando Diagnostic & Mr Center | Diagnostic Radiology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Diagnostic Radiology | Current | Accepting new patients |
| Saint Mary Sonogram PC | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Lakes Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Community Health of South Florida, Inc | Current | Accepting new patients | |
| Cyrus Diagnostic Imaging, Inc | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Partners Imaging Center of Sarasota LLC | Diagnostic Radiology | Current | Accepting new patients |
| MRI Associates of St Pete Inc | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Amin Radiology Inc | Current | Accepting new patients | |
| Ohri, LLC | Current | Accepting new patients | |
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Gainesville Open MRI Center Inc | Current | Accepting new patients | |
| Radiology Imaging Specialists LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostic Institute Winter Park PLLC | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| West Hernando Diagnostic & Mr Center | Diagnostic Radiology | Current | Accepting new patients |
| Future Diagnostics Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Ohri, LLC | Current | Accepting new patients | |
| Cook County | Diagnostic Radiology | Current | Accepting new patients |
| Cyrus Diagnostic Imaging Inc | Current | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients | |
| Advanced Imaging of Port Charlotte | Diagnostic Radiology | Past | Accepting new patients |
| Caroline a Reich MD PC | Diagnostic Radiology | Past | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 41)
16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
900 E Washington St
Ste 150
Colton, CA 92324
Phone (909) 433-0575
455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
Ste 1700
Loma Linda, CA 92354
Phone (909) 558-3016
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
11234 Anderson St
Ste 1405
Loma Linda, CA 92350
Phone (909) 558-4252
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444
665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800
1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013
398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955
922 N Citrus Ave
Crystal River, FL 34428
Phone (352) 795-9200
10300 SW 216th St
Cutler Bay, FL 33190
4340 Newberry Rd
Ste 104
Gainesville, FL 32607
Phone (352) 240-6209
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
605 Crescent Executive Ct
Ste 124
Lake Mary, FL 32746
165 Waymont Ct
Lake Mary, FL 32746
Phone (407) 321-3012
1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565
2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mgirguis54424@direct.llu.edu
Organizations & group practices 76
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.
-
- Family Medicine Physician
- Ocala, FL
- NPI 1871589192
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1952763971
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1831183607
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
CA, Diagnostic Radiology
-
- General Practice Physician
- Chicago, IL
- NPI 1205301926
IL
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1336152347
FL
Hospital & facility affiliations 36
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": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1477591154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40946 US HIGHWAY 19 N # 101",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346895446",
"telephone_number": "813-720-7237",
"fax_number": "888-366-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40946 US HIGHWAY 19 N # 101",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346895446",
"telephone_number": "813-720-7237",
"fax_number": "888-366-6013"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-355-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRGUIS",
"first_name": "MARK",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME112607",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036166384",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D79826",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A82528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A825280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.