NPIMap

Organization Active NPI

Radiology Associates of Venice and Englewood PA

  • Diagnostic Radiology Physician
  • Venice, FL
National Provider Identifier
1508803966
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF VENICE AND ENGLEWOOD PA
Practice address
512 Nokomis Ave S
Venice, FL 34285-2817
Phone
(941) 488-7781
Fax
(941) 484-9235
NPI assigned
Jun 2, 2006
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Christina Negron
Title
Revenue Cycle Manager
Phone
(941) 486-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

512 Nokomis Ave S
Venice, FL 34285-2817

Mailing address

PO Box 1508
Venice, FL 34284-1508
Phone (941) 488-7781

Other identifiers 1

IdentifierTypeStateIssuer
059464400MedicaidFL

Other names 1

  • Radiology Associates of Venice and Englewood Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, PA, MN, OH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20050202000702 FL Part B Supplier - Clinic/Group Practice 8729039292 Receives reassigned benefits from 11 practitioners
Practice locations: Venice, FL; Tampa, FL; Sarasota, FL; Port Orange, FL; North Port, FL; Miami, FL; Englewood, FL
O20210723002246 HI Part B Supplier - Clinic/Group Practice 8729039292 Receives reassigned benefits from 1 practitioner
Practice locations: Kahului, HI; Makawao, HI
O20220711000252 PA Part B Supplier - Clinic/Group Practice 8729039292 Receives reassigned benefits from 1 practitioner
Practice locations: Swarthmore, PA
O20251107000398 MN Part B Supplier - Clinic/Group Practice 8729039292 Receives reassigned benefits from 1 practitioner
Practice locations: Wayzata, MN
O20260519000284 OH Part B Supplier - Clinic/Group Practice 8729039292 Receives reassigned benefits from 1 practitioner
Practice locations: Batavia, OH

National Provider Directory

National Provider Directory

Locations

900 Pine St
Englewood, FL 34223
Phone (941) 475-5471

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1508803966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1508",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841508",
            "telephone_number": "941-488-7781",
            "fax_number": "941-484-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852817",
            "telephone_number": "941-488-7781",
            "fax_number": "941-484-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF VENICE AND ENGLEWOOD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "941-486-3483"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059464400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Associates of Venice and Englewood",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Radiology Associates of Venice and Englewood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.