NPIMap

Individual provider Active NPI

Ken L Schreibman, MD PHD

  • Diagnostic Radiology Physician
  • Ocoee, FL
National Provider Identifier
1841268745
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME126420 Issued in FL
Practice address
9582 W Colonial Dr
Ocoee, FL 34761-6992
Phone
(407) 363-6700
Fax
(407) 363-5979
NPI assigned
Mar 8, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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 ME126420 FL Primary

Addresses

Primary practice location

9582 W Colonial Dr
Ocoee, FL 34761-6992

Mailing address

6900 E Camelback Rd Ste 700
Attn: Credentialing
Scottsdale, AZ 85251-2400
Phone (480) 809-4829

Other identifiers 1

IdentifierTypeStateIssuer
ME126420OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825001581 FL Practitioner - Diagnostic Radiology 0648232322 Reassigns benefits to 3 organizations
I20220330001856 WV Practitioner - Diagnostic Radiology 0648232322

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

9205 San Ambrosio Dr
Orlando, FL 32836-5337
Phone (319) 272-7070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126420FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Dec 22, 2020 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kschreibman811718@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1841268745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E CAMELBACK RD STE 700",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512400",
            "telephone_number": "480-809-4829",
            "fax_number": "623-322-6147"
        },
        {
            "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",
            "fax_number": "407-363-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBMAN",
        "first_name": "KEN",
        "middle_name": "L",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME126420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME126420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.