Individual provider Active NPI

Mark S Girguis, MD

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
National Provider Identifier
1477591154
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A82528 Issued in CA
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

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A825280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLC 302 clinicians
Howard Simon MD PLLC 61 clinicians
Radiology Imaging Specialists LLC 17 clinicians
The Board of Trustees of the University of Illinois 1,134 clinicians
Cook County 770 clinicians
Ocala Family Medical Center Inc 60 clinicians
Saint Anthony Health Affiliates 95 clinicians
Resilience Healthcare - Lakefront Medical Associates LLC 37 clinicians
West Hernando Diagnostic and Mr Center, Inc 25 clinicians
Health Diagnostics of California a Professional Corporation 176 clinicians

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 Hospital, Oak Park, IL, CCN 140049
  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D79826MDMDDiagnostic Radiology Physician

Practice roles (48 of 50)

OrganizationSpecialtyStatusNew patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology Current Accepting new patients
Sonotec Mobile Imaging Inc. CurrentSince Jan 21, 2016 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Aug 8, 2023 Accepting new patients
Ocala Family Medical Center, Inc. Diagnostic Radiology CurrentSince Sep 8, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Jan 28, 2013 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Saint Mary Sonogram PC CurrentSince Jul 17, 2021 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Lakes Radiology Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Community Health of South Florida Inc CurrentSince Jul 14, 2020 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 CurrentSince Dec 16, 2024 Accepting new patients
Community Health of South Florida, Inc CurrentSince Jul 14, 2020 Accepting new patients
Cyrus Diagnostic Imaging, Inc CurrentSince May 25, 2021 Accepting new patients
Cook County CurrentSince Jul 26, 2024 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Dec 4, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Mar 10, 2023 Accepting new patients
MRI Associates of St Pete Inc CurrentSince Jan 13, 2020 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 1, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 1, 2024 Accepting new patients
Amin Radiology Inc CurrentSince Mar 28, 2023 Accepting new patients
Ohri, LLC CurrentSince Jul 1, 2022 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 CurrentSince Jun 13, 2023 Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
University Diagnostic Institute Winter Park PLLC CurrentSince Sep 11, 2017 Accepting new patients
Cook County Current Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Jan 28, 2013 Accepting new patients
Future Diagnostics Group LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2014 Accepting new patients
Ohri, LLC CurrentSince Jul 1, 2022 Accepting new patients
Cook County Diagnostic Radiology CurrentSince Jul 26, 2024 Accepting new patients
Cyrus Diagnostic Imaging Inc CurrentSince May 25, 2021 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 PastSince Jun 9, 2013 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

  • Direct secure messaging: 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.

View all 76

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

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

Verify at the official NPI Registry.