Individual provider Active NPI

Richard Scott Connin, M.D.

  • Diagnostic Radiology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1811088859
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 82705 Issued in FL
Practice address
7320 Desert Ridge GLN
Lakewood Ranch, FL 34202-5187
Phone
(713) 526-5771
NPI assigned
Sep 27, 2006
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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 ME 82705 FL Primary

Addresses

Primary practice location

7320 Desert Ridge GLN
Lakewood Ranch, FL 34202-5187

Mailing address

7320 Desert Ridge GLN
Lakewood Ranch, FL 34202-5187
Phone (941) 536-2123

Other identifiers 1

IdentifierTypeStateIssuer
262090100MedicaidFL

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
I20070403000048 FL Practitioner - Diagnostic Radiology 5395707566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

10010 N Dale Mabry Hwy 150
Simonmed Imaging Carrollwood
Tampa, FL 33618-4469
Phone (813) 964-8439

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1639 N Volusia Ave
Simonmed Imaging Orange City
Orange City, FL 32763-3843
Phone (386) 774-7226

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

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

211 N 1St St
Simonmed Imaging Leesburg
Leesburg, FL 34748-5150
Phone (352) 241-7446

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

225 W State Rd 434
104 Simonmed Imaging Longwood
Longwood, FL 32750-4980
Phone (407) 304-1000

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

2954 Mallory Cir
Suite 104
Celebration, FL 34747-1822
Phone (321) 559-8362

303 W 1St St
Simonmed Imaging Sanford
Sanford, FL 32771-1205
Phone (321) 275-3132

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

4161 Tamiami TRL
BLDG 2
Port Charlotte, FL 33952-9204
Phone (941) 235-3280

4800 Park Blvd N
Simonmed Imaging Park Blvd
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

5831 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5089
Phone (941) 954-1900

6138 Kennerly Rd
Suite 100
Jacksonville, FL 32216-4393
Phone (904) 638-0217

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

6250 Lake Osprey Dr
Suite 100
Lakewood Ranch, FL 34240-8423
Phone (941) 957-9340

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474

775 N Alafaya TRL
Simonmed Imaging Waterford Lakes
Orlando, FL 32828-7047
Phone (321) 235-8700

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME 82705FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 3, 2022 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 3, 2022 Accepting new patients
Consulting Radiologists Corporation Diagnostic Radiology Past Accepting new patients
Vero Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Southeast Radiology Associates PL Diagnostic Radiology Past Accepting new patients
Bay Radiology Associates, PL Diagnostic Radiology PastSince Jul 12, 2004 Accepting new patients
Life Radiology LLC Past Accepting new patients
Bay Radiology Womens Imaging Center, LLC Diagnostic Radiology PastSince Jan 4, 2010 Accepting new patients
Stoutamyer Stratos Schroeder Whaley & Rizzo MDS PA Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients
Smi Imaging, LLC Diagnostic Radiology Past Accepting new patients
Radiology Physicians of Indian River County LC Diagnostic Radiology Past Accepting new patients

Locations

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

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1811088859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 DESERT RIDGE GLN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025187",
            "telephone_number": "941-536-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 DESERT RIDGE GLN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025187",
            "telephone_number": "713-526-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNIN",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 82705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262090100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.