Active NPI
Icare360 Imaging LLC
- Diagnostic Radiology Physician
- Hudson, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ICARE360 IMAGING LLC
- Practice address
- 7615 Jacque Rd
Hudson, FL 34667-7132 - Phone
- (813) 692-7947
- Fax
- (813) 692-7937
- NPI assigned
- Jan 30, 2025
- Last updated
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vinod K Raxwal, MD
- Title
- Owner
- Phone
- (813) 692-7947
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
7615 Jacque Rd
Hudson, FL 34667-7132
Mailing address
7615 Jacque Rd
Hudson, FL 34667-7132
Phone (813) 692-7947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250516001614 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8022540848 | Practice locations: Hudson, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Icare360 Imaging LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- New Port Richey, FL
- NPI 1194691741
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Hudson, FL
- NPI 1659386449
-
- Diagnostic Radiology Physician
- New Port Richey, FL
- NPI 1811999477
-
- Vascular & Interventional Radiology Physician
- Sunrise, FL
- NPI 1437265121
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1720891005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 JACQUE RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677132",
"telephone_number": "813-692-7947",
"fax_number": "813-692-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 JACQUE RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677132",
"telephone_number": "813-692-7947",
"fax_number": "813-692-7937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE360 IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "RAXWAL",
"authorized_official_first_name": "VINOD",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-692-7947",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.