Active NPI
Sagi Shaked
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Pompano Beach, FL
National Provider Identifier
1669876728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Practice address
- 150 SW 12TH Ave Ste 101B
Pompano Beach, FL 33069-3298 - Phone
- (954) 773-9598
- Fax
- (954) 773-9588
- NPI assigned
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
150 SW 12TH Ave Ste 101B
Pompano Beach, FL 33069-3298
Mailing address
815 SE 1St Ave
Suite B
Hallandale Beach, FL 33009-7102
Phone (954) 773-9598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Surgery Center Inc | Current | Accepting new patients | |
| Iconic Imaging, Inc. | Past | Accepting new patients | |
| Aventura Open MRI, Inc | Magnetic Resonance Imaging (MRI) | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Hallandale, FL
- NPI 1235534058
-
- Radiology Clinic/Center
- Pompano Beach, FL
- NPI 1346645033
-
- Ambulatory Surgical Clinic/Center
- Plantation, FL
- NPI 1114530888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1669876728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 SE 1ST AVE",
"address_2": "SUITE B",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330097102",
"telephone_number": "954-773-9598",
"fax_number": "954-773-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SW 12TH AVE STE 101B",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693298",
"telephone_number": "954-773-9598",
"fax_number": "954-773-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKED",
"first_name": "SAGI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-20",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.