NPIMap

Organization Active NPI

Neuro Imaging Institute of Winter Park, LTD

  • Specialist
  • Winter Park, FL
National Provider Identifier
1730173089
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEURO IMAGING INSTITUTE OF WINTER PARK, LTD
Practice address
2111 Glenwood Dr
Suite 101
Winter Park, FL 32792-3328
Phone
(407) 478-1550
Fax
(407) 478-2495
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Rajendra M. Vazirani, MDNPI 1801970744
Title
Owner
Phone
(770) 400-6393

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2111 Glenwood Dr
Suite 101
Winter Park, FL 32792-3328

Mailing address

PO Box 550
Winter Park, FL 32790-0550
Phone (407) 478-1550

Other names 1

  • Neuro Imaging Winter Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050813000001 FL Part B Supplier - Clinic/Group Practice 1456252519 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL
O20260302000595 CA Part B Supplier - Clinic/Group Practice 1456252519 Receives reassigned benefits from 6 practitioners
Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

1315 S Orange Ave
Orlando, FL 32806
Phone (407) 849-0840

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1730173089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327900550",
            "telephone_number": "407-478-1550",
            "fax_number": "407-478-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 GLENWOOD DR",
            "address_2": "SUITE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923328",
            "telephone_number": "407-478-1550",
            "fax_number": "407-478-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO IMAGING INSTITUTE OF WINTER PARK, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "VAZIRANI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-400-6393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Imaging Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.