Individual provider Active NPI

Susana Creagh Reyes

  • Diagnostic Radiology Physician
  • Ponce, PR
National Provider Identifier
1639622301
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME163946 Issued in FL
Practice address
140 Calle Monterrey Apt 317
Ponce, PR 00716-0358
Phone
(787) 361-3988
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 ME163946 FL Primary

Addresses

Primary practice location

140 Calle Monterrey Apt 317
Ponce, PR 00716-0358

Mailing address

140 Calle Monterrey Apt 317
Ponce, PR 00716-0358

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
I20240821000093 FL Practitioner - Diagnostic Radiology 6507114709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

225 W State Rd 434
104 Simonmed Imaging Longwood
Longwood, FL 32750-4980
Phone (407) 304-1000

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

2954 Mallory Cir
Suite 104
Celebration, FL 34747-1822
Phone (321) 559-8362

3015 N Rocky Point Dr E Unit
Tampa, FL 33607-6094
Phone (480) 306-6949

303 W 1St St
Simonmed Imaging Sanford
Sanford, FL 32771-1205
Phone (321) 275-3132

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

4161 Tamiami TRL
BLDG 2
Port Charlotte, FL 33952-9204
Phone (941) 235-3280

4800 Park Blvd N
Simonmed Imaging Park Blvd
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

6000 Turkey Lake Rd
Suite 107
Orlando, FL 32819-4205
Phone (407) 514-1840

613 Oakfield Dr
Brandon, FL 33511-5714
Phone (813) 703-8027

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163946FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Apr 30, 2026 Accepting new patients
Titan MRI LLC CurrentSince Jun 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Aug 3, 2026 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Aug 3, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 8, 2024 Accepting new patients
Clermont Radiology LLC CurrentSince Jan 1, 2026 Accepting new patients
Titan MRI LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 12

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1639622301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CALLE MONTERREY APT 317",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CALLE MONTERREY APT 317",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160358",
            "telephone_number": "787-361-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGH REYES",
        "first_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME163946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.