Individual provider Active NPI

Kevin Parker, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1619137106
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
ME121999 Issued in FL
Practice address
2598 E Sunrise Blvd Ste 2104
Ft Lauderdale, FL 33304-3230
Phone
(202) 302-4864
NPI assigned
Jun 10, 2008
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 921189 NY
Diagnostic Radiology Physician 2085R0202X ME121999 FL
Diagnostic Radiology Physician 2085R0202X 01089698A IN
Diagnostic Radiology Physician 2085R0202X EMC0005267 MI
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X ME121999 FL Primary

Addresses

Primary practice location

2598 E Sunrise Blvd Ste 2104
Ft Lauderdale, FL 33304-3230

Mailing address

2598 E Sunrise Blvd Ste 2104
Ft Lauderdale, FL 33304-3230

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-6793

Other practice location 2

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 245-2682

Other practice location 3

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-6509

Other identifiers 1

IdentifierTypeStateIssuer
300074153MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kparker@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, IL, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150113000799 FL Practitioner - Diagnostic Radiology 7719201128 Reassigns benefits to 3 organizations
I20231208001111 IN Practitioner - Diagnostic Radiology 7719201128 Reassigns benefits to 2 organizations
I20251113000481 IL Practitioner - Diagnostic Radiology 7719201128 Reassigns benefits to 2 organizations
I20260303003243 CA Practitioner - Diagnostic Radiology 7719201128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
American Imaging of Southwest Florida, Inc.Group PAC ID 0143517276, 14 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1504 S Galena Ave
Dixon, IL 61021-4093
Phone (815) 971-3170

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

23081 Harborview Rd
Port Charlotte, FL 33980-2153
Phone (941) 235-8762

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

3301 C St
Suite 1500
Sacramento, CA 95816-3371
Phone (877) 827-7463

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

550 W Ranch View Dr
Suite 1200
Rocklin, CA 95765-5398
Phone (916) 295-5810

7326 NW 49TH St
Lauderhill, FL 33319-3433
Phone (202) 302-4864

8110 Laguna Blvd
Elk Grove, CA 95758-8094
Phone (916) 683-3942

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
63.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
921189NYMDInternal Medicine Physician
ME121999FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Sep 25, 2025 Accepting new patients
American Imaging of Southwest Florida,Inc Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Neuroimaging CurrentSince Jan 1, 2024 Accepting new patients
Health Diagnostics of Fort Lauderdale, LLC Diagnostic Radiology CurrentSince Sep 14, 2020 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Feb 18, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2025 Accepting new patients
Advanced Imaging of Port Charlotte Diagnostic Radiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

23081 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 235-8762

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

5924 Reliable Pkwy
Chicago, IL 60686

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1504 S Galena Ave
Dixon, IL 61021
Phone (815) 971-3170

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kparker@direct.iuhealth.org

Organizations & group practices 13

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 13

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1619137106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230",
            "telephone_number": "202-302-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-6793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-245-2682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-6509",
            "fax_number": "248-898-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "921189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME121999",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01089698A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "EMC0005267",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME121999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300074153",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kparker@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.