NPIMap

Partners Imaging Center of Sarasota LLC

Organization Active NPI Diagnostic Radiology Physician · Sarasota, FL

NPI 1548205271 · NPPES record last updated Jan 31, 2023

Key facts

NPI
1548205271
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
PARTNERS IMAGING CENTER OF SARASOTA LLC
Practice address
1250 S Tamiami TRL Ste 101&103
Sarasota, FL 34239-2221
Phone
(941) 951-2100
Fax
(941) 951-2110
NPI assigned
Jun 17, 2006
Organization subpart
No

Authorized official

Name
Richard M Goldberg NPI 1427086990
Title
Member
Phone
(941) 951-2100

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 63

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

View all 63

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1099402Partners Imaging Center of Sarasota
1250 S Tamiami Trail Suite 103, Sarasota, FL 34239		Certificate of waiverMay 11, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061108000417 FL Part B Supplier - Clinic/Group Practice 0042217861 Receives reassigned benefits from 62 practitioners
Practice locations: Bradenton, FL; Naples, FL; Port Charlotte, FL; Sarasota, FL; Venice, FL

National Provider Directory

Locations

4161 Tamiami Trl
Ste 204
Pt Charlotte, FL 33952
Phone (941) 235-3280

Networks

  • Optimum HealthCare HMO Network
    Plans: 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)
  • Freedom Health HMO Network
    Plans: 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 Maximo (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)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X Yes

Addresses

Primary practice location

1250 S Tamiami TRL Ste 101&103
Sarasota, FL 34239-2221

Mailing address

1250 S Tamiami TRL Ste 101&103
Sarasota, FL 34239-2221
Phone (941) 951-2100

Other providers in Sarasota, FL

All providers in Sarasota, FL · Diagnostic Radiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.