Individual provider Active NPI

Cory Robert Rizzardi, DO

  • Diagnostic Radiology Physician
  • Lutz, FL
National Provider Identifier
1902066129
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OT012715 Issued in PA
Practice address
2540 Green Forest LN Ste 101
Lutz, FL 33558-5388
Phone
(813) 920-5200
Fax
(813) 920-5228
NPI assigned
Jun 11, 2008
Last updated
Mar 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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 OT012715 PA Primary

Addresses

Primary practice location

2540 Green Forest LN Ste 101
Lutz, FL 33558-5388

Mailing address

2540 Green Forest LN Ste 101
Lutz, FL 33558-5388
Phone (813) 920-5200

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
I20130611000460 FL Practitioner - Diagnostic Radiology 2062676828 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

12780 Race Track Rd
Suite 100
Tampa, FL 33626-1395
Phone (813) 749-7810

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

2470 Bloomingdale Ave
Suite 115
Valrico, FL 33596-6403
Phone (727) 281-9390

3001 W MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

3202 N Park Rd
Plant City, FL 33563-2026
Phone (813) 757-1200

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 443-7000

4516 N Armenia Ave
Tampa, FL 33603-2732
Phone (813) 348-6900

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.08

Merit-based Incentive Payment System (MIPS)

Final score
87.68 of 100Reported as group
Quality
85.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012715PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Apr 3, 2019 Accepting new patients
Stern, Drake, Isbell & Associates, PA Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Apr 3, 2019 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

10141 Big Bend Rd
Riverview, FL 33578
Phone (813) 302-8925

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4516 N Armenia Ave
Tampa, FL 33603
Phone (813) 348-6900

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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 4

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1902066129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 GREEN FOREST LN STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585388",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 GREEN FOREST LN STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585388",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZARDI",
        "first_name": "CORY",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OT012715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.