Raina Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

HCC6547 Issued in FL

Legal business name

RAINA IMAGING, INC.

Practice address

245 Land Grant St Unit 6
Saint Augustine, FL 32092-1698

Phone

(904) 992-9749

Fax

(904) 212-1508

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly A Pankey, RVT

Title

Owner

Phone

(904) 992-9749

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doug Eiland, MD

  • Vascular & Interventional Radiology Physician
  • Tarpon Springs, FL
  • NPI 1376511576
  NPD
• Kizhake C Kurian, MD

  • Cardiovascular Disease Physician
  • Palm Coast, FL
  • NPI 1427082486
  NPD
• Russell N Nusynowitz, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1588661532
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1487794186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LAND GRANT ST UNIT 6",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921698",
            "telephone_number": "904-992-9749",
            "fax_number": "904-992-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 LAND GRANT ST UNIT 6",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921698",
            "telephone_number": "904-992-9749",
            "fax_number": "904-212-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINA IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "PANKEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-992-9749",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AL",
            "license": "I3794",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "HCC6547",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "470000610",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "498797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "950001085",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "V2104",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Imaging Associates, LLC
• Radiology Imaging Associates, LLC
• Kimika Ziadie Raffety, D.P.T.
• Suman Raghavan, DDS
• Raina Imaging Inc
• Rainbow Himes Inc
• Dana L Rainieri
• Jennya Ramcharan
• Armando Ramirez
• Alexis T Ramsey, MS

• Mobile Radiology Clinic/Center in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.