Active NPI
Denis Primakov, M.D.
- Diagnostic Radiology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME156759
- Practice address
- 2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303 - Phone
- (321) 837-3820
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
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 | ME156759 | FL | Primary |
Addresses
Primary practice location
2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303
Mailing address
2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303
Phone (321) 837-3820
Other practice location 1
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114342000 | Medicaid | FL | |
| S2479 | Other | FL | MEDICARE HF |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128
8725 N Wickham Rd
Melbourne, FL 32940-2240
Hospital & facility affiliations
- Holmes Regional Medical Center
- Palm Bay Hospital
- Cape Canaveral Hospital
- Viera Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Vascular & Interventional Radiology | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Precision Diagnostic Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
2627 W Eau Gallie Blvd
Ste 101
Melbourne, FL 32935
Phone (321) 802-6859
Interoperability endpoints
- dprimakov71931@epicdirect.hf.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Family Medicine
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558053181
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1548435290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 W EAU GALLIE BLVD STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358303",
"telephone_number": "321-837-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 W EAU GALLIE BLVD STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358303",
"telephone_number": "321-837-3820"
}
],
"practiceLocations": [
{
"address_1": "1223 Gateway Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-549-0677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIMAKOV",
"first_name": "DENIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME156759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114342000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "S2479",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.