Individual provider Active NPI

David Williams, MD

  • Diagnostic Radiology Physician
  • Melbourne, FL
National Provider Identifier
1619084704
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F80247 Issued in FL
Practice address
2222 S Harbor City Blvd
Melbourne, FL 32901
Phone
(321) 409-9990
Fax
(321) 309-9033
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 F80247 FL Primary

Addresses

Primary practice location

2222 S Harbor City Blvd
Melbourne, FL 32901

Mailing address

PO Box 400
Melbourne, FL 32902
Phone (321) 409-9990

Other identifiers 1

IdentifierTypeStateIssuer
26208550MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001839 FL Practitioner - Diagnostic Radiology 6800797978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Radiology LLCGroup PAC ID 1850627811, 5 clinicians
Neuroskeletal Imaging LLCGroup PAC ID 6204865223, 7 clinicians

Practice addresses (Care Compare)

6023 Farcenda PL
Suite 101
Melbourne, FL 32940-7340
Phone (321) 831-1111

709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1936
Phone (321) 409-9990

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as individual
Quality
73.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F80247FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Radiology LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 29, 2025 Accepting new patients
Neuroskeletal Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2005 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 29, 2025 Accepting new patients
Omni Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
Neuroskeletal Imaging LLC Diagnostic Radiology Past Accepting new patients
Neuro Imaging Institute II Inc Diagnostic Radiology Past Accepting new patients
Munster Radiology Group PC Diagnostic Radiology Past Accepting new patients
Neuro Imaging Institute of Winter Park, LTD PastSince Nov 9, 2025 Accepting new patients
United Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients

Locations

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990

6023 Farcenda Pl
Ste 101
Melbourne, FL 32940
Phone (321) 409-9990

2222 S Harbor City Blvd
Ste 520
Melbourne, FL 32901
Phone (321) 409-9990

2222 S Harbor City Blvd
Melbourne, FL 32901
Phone (321) 409-9990

255 N Sykes Creek Pkwy
Merritt Island, FL 32953
Phone (321) 453-5050

1315 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 999-9977

1315 S Orange Ave
Orlando, FL 32806
Phone (407) 849-0840

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

2111 Glenwood Dr
Ste 101
Winter Park, FL 32792
Phone (407) 478-1550

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1619084704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32902",
            "telephone_number": "321-409-9990",
            "fax_number": "321-309-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-409-9990",
            "fax_number": "321-309-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "F80247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26208550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.