Active NPI
Ivan G Murray, MD
- Diagnostic Radiology Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- J2698
- Practice address
- 2235 North Blvd West
Davenport, FL 33837 - Phone
- (863) 421-8674
- Fax
- (863) 421-9622
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J2698 | TX | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME0053689 | FL |
Addresses
Primary practice location
2235 North Blvd West
Davenport, FL 33837
Mailing address
PO Box 2159
Haines City, FL 33845-2159
Phone (863) 421-9393
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080313000336 | FL | Practitioner - Diagnostic Radiology | 2860577947 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Technological Radiology PA
Practice addresses (Care Compare)
2235 N Blvd W
Davenport, FL 33837-8990
Phone (863) 421-9393
2235 N W Blvd
Davenport, FL 33837-8990
Phone (863) 421-9393
24040 US Hwy 27
Lake Wales, FL 33859-7813
Phone (863) 421-9393
315 Central Ave E
Winter Haven, FL 33880-3047
Phone (863) 421-9393
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2698 | TX | MD | Diagnostic Radiology Physician |
| ME0053689 | FL | MD | Vascular & Interventional Radiology Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Technological Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Centers LLC | Past | Accepting new patients | |
| Advance Technological Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
2235 North Blvd W
Davenport, FL 33837
Phone (863) 421-8674
315 E Central Ave
Winter Haven, FL 33880
Phone (863) 295-5674
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Winter Haven, FL
- NPI 1851065981
Diagnostic Radiology
-
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1497813034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801922786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2159",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338452159",
"telephone_number": "863-421-9393",
"fax_number": "863-421-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 NORTH BLVD WEST",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "863-421-8674",
"fax_number": "863-421-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "IVAN",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J2698",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME0053689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.