Individual provider Active NPI

Mark J Mahan, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1609863778
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 57707 Issued in FL
Practice address
20 W Kaley St
Orlando, FL 32806-2931
Phone
(407) 423-2581
Fax
(407) 849-6470
NPI assigned
Oct 4, 2005
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 ME 57707 FL Primary
Diagnostic Radiology Physician 2085R0202X 036154985 IL

Addresses

Primary practice location

20 W Kaley St
Orlando, FL 32806-2931

Mailing address

20 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-2581

Other identifiers 1

IdentifierTypeStateIssuer
64454400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NM, NY, OH, NJ, GA, CO, WA, KY, TX, WI, IL13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20100128000377 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5597849315 Reassigns benefits to 21 organizations
I20180919001476 PA Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 4 organizations
I20210222000632 NM Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 3 organizations
I20210331002901 NY Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 2 organizations
I20220331001787 OH Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 1 organization
I20230131002347 NJ Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 1 organization
I20230808000008 GA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5597849315 Reassigns benefits to 1 organization
I20230925001708 CO Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 23 organizations
I20231016002551 WA Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 1 organization
I20240117003523 KY Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 2 organizations
I20241024002078 TX Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 1 organization
I20250113003538 WI Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 1 organization
I20251125002161 IL Practitioner - Diagnostic Radiology 5597849315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

Winter Springs, FL 32708
Phone (505) 225-8476

Boulder, CO 80301
Phone (309) 671-8282

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

1003 E McCord St
Centralia, IL 62801-3345
Phone (618) 436-6633

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000

124 Elena St
Santa Fe, NM 87501-1820
Phone (718) 223-4685

16 Guion PL
New Rochelle, NY 10801-5502
Phone (718) 223-4685

2030 Penstock CT
Bethlehem, PA 18015-5097
Phone (561) 366-2002

2912 Cathedral Park VW
Colorado Springs, CO 80904-4722
Phone (561) 366-2002

311 S L St
Tacoma, WA 98405-3720

410 Park Lake Dr
Winter Springs, FL 32708-5188
Phone (219) 767-6320

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5085 Cottonwood Dr
Boulder, CO 80301-3602
Phone (888) 501-6087

6297 Fulton CT
Denver, CO 80238-4331
Phone (906) 449-3000

848 Brickell Key Dr
Apt 3502
Miami, FL 33131-3728
Phone (702) 271-4107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 57707FLMDDiagnostic Radiology Physician
036154985ILMDDiagnostic Radiology Physician

Practice roles (60 of 74)

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 20, 2023 Accepting new patients
Multicare Health System CurrentSince Sep 20, 2023 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Dec 31, 2021 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Diagnostic Radiology CurrentSince Apr 8, 2022 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Oct 20, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Apr 8, 2022 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Aug 13, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 20, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 20, 2025 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Aug 11, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Pikeville Medical Center Inc. CurrentSince Nov 14, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Apr 29, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 17, 2018 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Dec 24, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jun 8, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 17, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 18, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Oct 20, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Diagnostic Radiology Current Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Mar 23, 2025 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jun 10, 2022 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Aug 14, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Feb 13, 2023 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jun 14, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Feb 27, 2024 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Dec 24, 2024 Accepting new patients
Community Medical Center Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
CHI St. Luke's Health Baylor College of Medicine Medical Center Past Accepting new patients
Orlando Health, Inc. Past Accepting new patients
Upmc Memorial Past Accepting new patients
Sun Health Corporation Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
PMC Hospital, LLC Past Accepting new patients
Mercy Health-St Charles Hospital LLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations (25 of 128)

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

12900 Cortez Blvd
Ste 101
Brooksville, FL 34613
Phone (352) 596-1101

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

20 W Kaley St
Orlando, FL 32806
Phone (407) 423-2581

2740 SW Martin Downs Blvd
Palm City, FL 34990

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 882-8128

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

2200 Vernon St
Lagrange, GA 30240

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 78

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 78

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1609863778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062931",
            "telephone_number": "407-423-2581",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062931",
            "telephone_number": "407-423-2581",
            "fax_number": "407-849-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 57707",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036154985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64454400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.