NPIMap

Mark Joseph Giovannetti, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Indialantic, FL

NPI 1730123191 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1730123191
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
ME47173 (FL)
Practice address
1780 Canterbury Dr
Indialantic, FL 32903-4017
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 53

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.

View all 53

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLC (164 clinicians)
Singleton Associates PA (814 clinicians)
Golden State Imaging Associates Inc (242 clinicians)
Sonoran Radiology LTD (466 clinicians)
Medical Imaging Associates of Idaho Falls Inc (66 clinicians)
Mountain Radiology Inc (77 clinicians)
Silicon Valley Diagnostic Imaging Inc (78 clinicians)
Jefferson Radiology PC (121 clinicians)

Practice addresses (Care Compare)

Indialantic, FL 32903
Phone (505) 225-8476

Cape Canaveral, FL 32920
Phone (832) 355-4112

1780 Canterbury Dr
Indialantic, FL 32903-4017
Phone (818) 639-2901

1801 N Oregon St
Las Palmas Medical Center
El Paso, TX 79902-3524
Phone (915) 521-1200

310 N Sansome St
Philipsburg, MT 59858-7554
Phone (208) 715-5220

4535 SW 105TH Dr
Gainesville, FL 32608-7138
Phone (970) 900-6856

603 Washington Ave
Cape Canaveral, FL 32920-2111
Phone (866) 579-1110

69 Montecito Dr
Satellite Beach, FL 32937-5704
Phone (208) 715-5220

80 Semour St
Hartford, CT 06106-3315
Phone (860) 545-2870

Hospital & facility affiliations

  • Memorial Medical Center Hospital · Las Cruces, NM · CCN 320018
  • Carlsbad Medical Center Hospital · Carlsbad, NM · CCN 320063
  • Desert Regional Medical Center Hospital · Palm Springs, CA · CCN 050243
  • Uci Health-Orange Hospital · Orange, CA · CCN 050348
  • Palmdale Regional Medical Center Hospital · Palmdale, CA · CCN 050204

Medicare participation

Medicare fee-for-service enrollment
Enrolled (8 enrollments) in FL, NV, TX, SC, MT, WY, CA, CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041001000655 FL Practitioner - Diagnostic Radiology
Practitioner - Other (Physician)		 7911976303 Reassigns benefits to 18 organizations
I20150212000002 NV Practitioner - Diagnostic Radiology
Practitioner - Neurology
Practitioner - Other (Physician)		 7911976303
I20170311000059 TX Practitioner - Diagnostic Radiology 7911976303 Reassigns benefits to 3 organizations
I20170424000113 SC Practitioner - Diagnostic Radiology 7911976303
I20230307002271 MT Practitioner - Diagnostic Radiology 7911976303 Reassigns benefits to 1 organization
I20240625002448 WY Practitioner - Diagnostic Radiology 7911976303 Reassigns benefits to 2 organizations
I20240724000874 CA Practitioner - Diagnostic Radiology 7911976303 Reassigns benefits to 1 organization
I20260605001991 CT Practitioner - Diagnostic Radiology 7911976303 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80319FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Carbon County Current
since May 17, 2024		 Accepting new patients
Singleton Associates PA Neuroradiology Current
since Nov 1, 2020		 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology Current
since Aug 2, 2019		 Accepting new patients
San Carlos Apache Healthcare Corporation Current
since Feb 4, 2017		 Accepting new patients
Farmington Imaging Center, LLC Neuroradiology Current
since Dec 11, 2024		 Accepting new patients
Jefferson Radiology, PC Neuroradiology Current
since Sep 12, 2024		 Accepting new patients
Tic, LLC Diagnostic Radiology Current
since Jan 16, 2025		 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology Current
since Jul 24, 2023		 Accepting new patients
Elevation Medical Imaging Evanston Current
since May 1, 2024		 Accepting new patients
Geisinger-HM Joint Venture, LLC Current
since Dec 15, 2019		 Accepting new patients
Connecticut Imaging Partners, LLC Neuroradiology Current
since Oct 1, 2024		 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology Current
since Nov 21, 2022		 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology Current
since Jan 15, 2018		 Accepting new patients
San Carlos Apache Healthcare Corporation Current
since Feb 4, 2017		 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology Current
since Oct 1, 2020		 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology Current
since Sep 9, 2020		 Accepting new patients
El Camino Health Medical Network, LLC Current
since May 29, 2024		 Accepting new patients
Memorial Hospital of Carbon County Current
since May 17, 2024		 Accepting new patients
Radiology Alliance PC Diagnostic Radiology Current
since Nov 1, 2017		 Accepting new patients
Mori Bean and Brooks Inc Neuroradiology Current
since Mar 1, 2020		 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology Current
since Oct 23, 2020		 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Current
since Apr 23, 2021		 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Current
since Aug 8, 2020		 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Tuba City Regional Health Care Corporation Current
since Feb 4, 2018		 Accepting new patients
Lechee Health Facility Current
since Feb 4, 2018		 Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology Current
since Oct 15, 2018		 Accepting new patients
El Camino Health Medical Group Past
since Sep 8, 2019		 Accepting new patients
El Camino Hospital Past Accepting new patients
Neuroscience Consultants LLP Neuroradiology Past
since Aug 1, 2004		 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Hartford Hospital Past Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology Past Accepting new patients
East Morgan County Hospital Past Accepting new patients
Acupuncture & Oriental Medicine Inc Past
since Dec 1, 2011		 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Geisinger Health System Past Accepting new patients
Windham Community Memorial Hospital, Inc. Past Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients
Diagnostic Imaging Associates LLC Diagnostic Radiology Past Accepting new patients
Naples Hma LLC Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
Geisinger Lewistown Hospital Past Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
Mainehealth Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Community Medical Center Past Accepting new patients

Locations (25 of 108)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

26224 N Tatum Blvd
Phoenix, AZ 85050
Phone (480) 663-9632

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME47173 FL Yes

Addresses

Primary practice location

1780 Canterbury Dr
Indialantic, FL 32903-4017

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Other providers in Indialantic, FL

All providers in Indialantic, FL · Diagnostic Radiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.