Individual provider Active NPI

Warren S Krackov, M.D.

  • Vascular & Interventional Radiology Physician
  • Tampa, FL
National Provider Identifier
1689641136
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
341354 Issued in NY
Practice address
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone
(813) 929-5451
NPI assigned
Mar 3, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-2258 GU
Diagnostic Radiology Physician 2085R0202X ME 101445 FL
Diagnostic Radiology Physician 2085R0202X 247272 TN
Vascular & Interventional Radiology Physician 2085R0204X ME101445 FL
Vascular & Interventional Radiology Physician 2085R0204X 341354 NY Primary

Addresses

Primary practice location

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141

Mailing address

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone (813) 929-5451

Other practice location 1

12666 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 972-4700

Other practice location 2

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GU, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090625000559 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0547230476 Reassigns benefits to 3 organizations
I20210217002429 GU Practitioner - Diagnostic Radiology 0547230476 Reassigns benefits to 2 organizations
I20260317002236 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0547230476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

2513 W Palm Dr
Tampa, FL 33629-7313
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 101445FLMDDiagnostic Radiology Physician
M-2258GUMDDiagnostic Radiology Physician
247272TNMDDiagnostic Radiology Physician
341354NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 5, 2021 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Feb 3, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 1, 2026 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Vascular & Interventional Radiology CurrentSince Jan 1, 2026 Accepting new patients
Shi Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Westchester Medical Center Past Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients
Miami International Diagnostics Inc Diagnostic Radiology Past Accepting new patients
Bih Radiologic Foundation Inc Diagnostic Radiology Past Accepting new patients
American Access Care of Florida LLC Past Accepting new patients
North Beach Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
American Access Care of Miami, LLC Vascular & Interventional Radiology PastSince Aug 29, 2021 Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

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

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

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

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

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

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 15

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 15

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1689641136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12666 Telecom Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370935",
            "country_code": "US",
            "telephone_number": "813-972-4700",
            "fax_number": "813-972-4705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRACKOV",
        "first_name": "WARREN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-2258",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 101445",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "247272",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME101445",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "341354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.