Individual provider Active NPI

Noah R Feldman, D.O.

  • Diagnostic Radiology Physician
  • Ocoee, FL
National Provider Identifier
1770717258
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS12556 Issued in FL
Practice address
9582 W Colonial Dr
Ocoee, FL 34761-6992
Phone
(407) 363-6700
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102203321 VA
Diagnostic Radiology Physician 2085R0202X OS12556 FL Primary

Addresses

Primary practice location

9582 W Colonial Dr
Ocoee, FL 34761-6992

Mailing address

9582 W Colonial Dr
Ocoee, FL 34761-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150303000293 FL Practitioner - Diagnostic Radiology 9436393535 Reassigns benefits to 3 organizations
I20231130002388 TX Practitioner - Diagnostic Radiology 9436393535 Reassigns benefits to 1 organization
I20260507000942 KY Practitioner - Diagnostic Radiology 9436393535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

Orlando, FL 32837-7022
Phone (480) 306-6949

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

4700 B Chamberlain LN
Louisville, KY 40241-1106
Phone (502) 901-2010

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

8823 Fishermens Bay Dr
Sarasota, FL 34231-6655
Phone (480) 306-6949

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12556FLMDDiagnostic Radiology Physician
0102203321VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Dec 11, 2023 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Aug 20, 2021 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Dec 28, 2014 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Dec 28, 2020 Accepting new patients
Gila River Health Care CurrentSince Dec 11, 2023 Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

9582 W Colonial Dr
Ocoee, FL 34761
Phone (407) 363-6700

875 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 944-2220

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

10010 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (725) 937-6006

4700 Chamberlain Ln
#B
Louisville, KY 40241
Phone (502) 901-2010

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1770717258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9582 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9582 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616992",
            "telephone_number": "407-363-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "NOAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102203321",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS12556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.