Organization Active NPI

Radpod FL PLLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
National Provider Identifier
1730075672
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADPOD FL PLLC
Practice address
310 SE Veranda Falls Way
Port St Lucie, FL 34984-2101
Phone
(469) 469-4741
NPI assigned
Jun 17, 2025
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
John Young Kim, MDNPI 1376527382
Title
MD
Phone
(469) 469-4741

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)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

310 SE Veranda Falls Way
Port St Lucie, FL 34984-2101

Mailing address

3948 Legacy Dr Ste 106-381
Plano, TX 75023-8300
Phone (469) 469-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, IL, KY, GA, NY, TX, TN, WA, CA, NV, NE, MA, OR, HI, OK, WV, NJ, UT, AL20 enrollments

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
O20250924004450 FL Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 6 practitioners
Practice locations: Doral, FL; Tallahassee, FL; Sarasota, FL; Port St Lucie, FL; Parkland, FL; Newberry, FL
O20250926000809 WI Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, WI; Wauwatosa, WI
O20250926002222 IL Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 16 practitioners
Practice locations: Winnetka, IL; Western Springs, IL; Schiller Park, IL; Northbrook, IL; Downers Grove, IL; North Barrington, IL; Kildeer, IL; Hinsdale, IL…
O20250926002343 KY Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY; London, KY
O20250926003411 GA Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 3 practitioners
Practice locations: Alpharetta, GA; Atlanta, GA; Newnan, GA
O20250926004088 NY Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 2 practitioners
Practice locations: New Hyde Park, NY; New York, NY
O20250930000800 TX Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 14 practitioners
Practice locations: Dallas, TX; San Antonio, TX; Roanoke, TX; Plano, TX; McKinney, TX; Frisco, TX; Austin, TX; Allen, TX
O20251001004849 TN Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Signal Mountain, TN
O20251007004339 WA Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Woodinville, WA
O20251010001178 CA Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 7 practitioners
Practice locations: Bakersfield, CA; Carmel, CA; Elk Grove, CA; La Jolla, CA; Redondo Beach, CA; Santa Monica, CA; Thousand Oaks, CA
O20251010001428 NV Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 4 practitioners
Practice locations: Henderson, NV; Las Vegas, NV
O20251017002461 NE Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE
O20251111002061 MA Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Dedham, MA
O20251114002276 OR Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20260312000166 HI Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20260323000125 OK Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK
O20260323002436 WV Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV
O20260413000617 NJ Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 2 practitioners
Practice locations: Galloway, NJ; Morganville, NJ
O20260518000764 UT Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, UT
O20260522002545 AL Part B Supplier - Clinic/Group Practice 9133624745 Receives reassigned benefits from 1 practitioner
Practice locations: Vestavia, AL

National Provider Directory

National Provider Directory

Locations

620 S 7th St
Las Vegas, NV 89101

Practitioners & affiliated clinicians

Practitioners 144

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.

View all 144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1730075672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 LEGACY DR STE 106-381",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750238300",
            "telephone_number": "469-469-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SE VERANDA FALLS WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349842101",
            "telephone_number": "469-469-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADPOD FL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "469-469-4741",
        "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 Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.

Verify at the official NPI Registry.