Active NPI
Ronald M Porter, M.D.
- Diagnostic Radiology Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME47779
- Practice address
- 1210 S Old Dixie Hwy
Jupiter, FL 33458-7205 - Phone
- (561) 747-2234
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME47779 | FL | Primary |
Addresses
Primary practice location
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Mailing address
PO Box 908
Jupiter, FL 33468-0908
Phone (561) 748-2889
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02351 | Other | FL | BCBS |
| 043380200 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47779 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida United Radiology LC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1407809395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1497700504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "JUPITER",
"state": "FL",
"postal_code": "334680908",
"telephone_number": "561-748-2889",
"fax_number": "561-748-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587205",
"telephone_number": "561-747-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "RONALD",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME47779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02351",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043380200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.