Individual provider Active NPI

Mark Joseph Giovannetti, M.D.

  • Diagnostic Radiology Physician
  • Indialantic, FL
National Provider Identifier
1730123191
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME47173 Issued in FL
Practice address
1780 Canterbury Dr
Indialantic, FL 32903-4017
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jun 16, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, TX, SC, MT, WY, CA, CT8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20041001000655 FL Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 7911976303 Reassigns benefits to 18 organizations
I20150212000002 NV Practitioner - Diagnostic RadiologyPractitioner - NeurologyPractitioner - 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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80319FLMDVascular & Interventional Radiology Physician

Practice roles

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

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

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

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

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

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

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

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

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

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

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

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 53

Hospital & facility affiliations 7

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1730123191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 CANTERBURY DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034017",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNETTI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME47173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.