Individual provider Active NPI

Riccardo M De Girolami, M. D.

  • Diagnostic Radiology Physician
  • Inverness, FL
National Provider Identifier
1588646558
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME40267 Issued in FL
Practice address
2105 Highway 44 W
Inverness, FL 34453-3805
Phone
(352) 637-6100
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME40267 FL Primary

Addresses

Primary practice location

2105 Highway 44 W
Inverness, FL 34453-3805

Mailing address

2105 Highway 44 W
Inverness, FL 34453-3805
Phone (352) 637-6100

Other identifiers 1

IdentifierTypeStateIssuer
371982100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME40267FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inverness Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Nature Coast Anesthesia Providers, P.a. PastSince Jun 1, 2021 Accepting new patients
Ocala Oncology Center PL Past Accepting new patients
Clinical Pet of Citrus LLC PastSince Feb 3, 2005 Accepting new patients
Citrus Radiology Associates PA Diagnostic Radiology PastSince Apr 11, 1988 Accepting new patients

Locations

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1588646558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533805",
            "telephone_number": "352-637-6100",
            "fax_number": "352-637-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533805",
            "telephone_number": "352-637-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GIROLAMI",
        "first_name": "RICCARDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME40267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371982100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.