Individual provider Active NPI

Scott L Kaltman, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1780601344
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME78064 Issued in FL
Practice address
3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone
(904) 399-5550
Fax
(904) 346-4334
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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 ME78064 FL Primary

Addresses

Primary practice location

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd S
Building 300
Jacksonville, FL 32216-4252
Phone (904) 399-5550

Other identifiers 3

IdentifierTypeStateIssuer
46472OtherFLBCBS
00828616AMedicaidGA
256316900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090210000104 FL Practitioner - Diagnostic Radiology 5193880003 Reassigns benefits to 2 organizations
I20181210002248 GA Practitioner - Diagnostic Radiology 5193880003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
Fernandina Beach, FL 32034-1902
Phone (904) 399-5550

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

196 Lamp Lighter LN
Ponte Vedra Beach, FL 32082-1942
Phone (904) 399-5550

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

3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

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

State licenses

LicenseStateTypeSpecialty
ME78064FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 5, 1999 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Imaging Services of Jacksonville LLC Diagnostic Radiology Past Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Aug 1, 2020 Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

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

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

836 Prudential Dr
Ste 105
Jacksonville, FL 32207
Phone (904) 202-2901

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

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

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2200 Vernon St
Lagrange, GA 30240

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1900 Tebeau St
Ste C
Waycross, GA 31501

Organizations & group practices 5

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1780601344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "BUILDING 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-5550",
            "fax_number": "904-346-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTMAN",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME78064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46472",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00828616A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256316900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.