Active NPI
Warren S Krackov, M.D.
- Vascular & Interventional Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 341354
- Practice address
- 14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141 - Phone
- (813) 929-5451
- NPI assigned
- Mar 3, 2006
- Last updated
- Aug 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Westchester Medical Center
- HCA Florida Trinity Hospital
- HCA Florida Oak Hill Hospital
- HCA Florida Bayonet Point Hospital
- HCA Florida Citrus Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 101445 | FL | MD | Diagnostic Radiology Physician |
| M-2258 | GU | MD | Diagnostic Radiology Physician |
| 247272 | TN | MD | Diagnostic Radiology Physician |
| 341354 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Shi Specialists LLC | Current | 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 | Past | 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
- 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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Vascular & Interventional Radiology
-
- Body Imaging Physician
- Clewiston, FL
- NPI 1912761917
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
Diagnostic Radiology
-
dba Simonmed Imaging Carrollwood
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1689317497
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Surgery Physician
- Plantation, FL
- NPI 1629833058
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1982371209
-
- Diagnostic Radiology Physician
- North Miami Beach, FL
- NPI 1184860041
-
- Diagnostic Radiology Physician
- North Miami Beach, FL
- NPI 1649412388
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
-
dba HCA Florida Trinity Hospital
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.