Individual provider Active NPI

Richard Jay Lichtenstein, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1770522278
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME56280 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Jun 6, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 ME56280 FL Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

2700 University Square Dr
Radiology Associates of Tampa
Tampa, FL 33612-5513
Phone (813) 253-2721

Other identifiers 1

IdentifierTypeStateIssuer
265160200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000559 FL Practitioner - Diagnostic RadiologyPractitioner - Neurology 3577464387 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Neurology
Education
University of South Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

1063 Bahia Vista CT
Sarasota, FL 34232-2403
Phone (904) 399-5550

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3333 Cattlemen Rd
Sarasota, FL 34232-6057

5880 Rand Blvd
Sarasota, FL 34238-5118
Phone (904) 399-5550

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
FL 1
Sarasota, FL 34232-2476
Phone (941) 955-6748

943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Open MRI, LLC Diagnostic Radiology CurrentSince May 24, 2004 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 8, 2019 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 8, 2019 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Intercoastal Medical Group Inc CurrentSince Feb 14, 2000 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients
SMH Radiology Associates PA Diagnostic Radiology PastSince Oct 1, 1995 Accepting new patients
Suncoast Diagnostic Inc Diagnostic Radiology Past Accepting new patients
Prestige Imaging LLC Diagnostic Radiology Past Accepting new patients
SMH Diagnostics Inc Past Accepting new patients

Locations

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

427 S Parsons Ave
Ste 100
Brandon, FL 33511
Phone (813) 215-2080

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2253 Heart Pine Ave
Odessa, FL 33556
Phone (813) 723-5911

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

2881 Hyde Park St
Sarasota, FL 34239
Phone (941) 366-2460

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-9370

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 844-8300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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 13

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1770522278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "address_2": "RADIOLOGY ASSOCIATES OF TAMPA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-253-2721",
            "fax_number": "813-254-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "RICHARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME56280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265160200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.