NPIMap

Individual provider Active NPI

Jasim Amir Alidina, MD

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
National Provider Identifier
1588050843
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME145778 Issued in FL
Practice address
1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516
Phone
(386) 274-7118
NPI assigned
Apr 13, 2015
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C197797 CA
Diagnostic Radiology Physician 2085R0202X ME145778 FL Primary

Addresses

Primary practice location

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516

Mailing address

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516
Phone (386) 274-7118

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-5516
Phone (352) 273-7002

Other practice location 2

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 608-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI, HI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210528000750 FL Practitioner - Diagnostic Radiology 1456750181 Reassigns benefits to 5 organizations
I20210610002381 VI Practitioner - Diagnostic Radiology 1456750181 Reassigns benefits to 1 organization
I20210806002308 HI Practitioner - Diagnostic Radiology 1456750181 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Univ of Central Florida, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of St Petersburg PAGroup PAC ID 2365413242, 26 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

1177 Queen St
Apt 2109
Honolulu, HI 96814-4145
Phone (727) 825-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
85.1
Improvement activities
40
Cost
80.55

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C197797CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Stern, Drake, Isbell & Associates, PA Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 30, 2024 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Radiology Associates of St. Petersburg PA Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
East Central Florida Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology Past Accepting new patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology PastSince Jul 26, 2010 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

1700 S Court St
Ste A
Visalia, CA 93277
Phone (559) 734-5674

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

8230 Summa Ave
Ste C
Baton Rouge, LA 70809

1100 N 18th St
Ste 100
Monroe, LA 71201
Phone (318) 361-9900

135 Highway 402
Napoleonville, LA 70390
Phone (504) 369-3600

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1588050843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175516",
            "telephone_number": "386-274-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175516",
            "telephone_number": "386-274-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326105516",
            "country_code": "US",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-608-5262",
            "fax_number": "559-734-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIDINA",
        "first_name": "JASIM",
        "middle_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C197797",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME145778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.