Individual provider Active NPI

William Hanes McCuskey, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1902803562
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME103541 Issued in FL
Practice address
3680 Broadway
Fort Myers, FL 33901-8005
Phone
(239) 936-2316
Fax
(239) 834-6106
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME103541 FL Primary
Specialist 174400000X 34395 NC
Diagnostic Radiology Physician 2085R0202X 34395 NC
Diagnostic Radiology Physician 2085R0202X 0101245169 VA

Addresses

Primary practice location

3680 Broadway
Fort Myers, FL 33901-8005

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091230000685 FL Practitioner - Diagnostic Radiology 8921188624 Reassigns benefits to 13 organizations
I20111011000136 NC Practitioner - Diagnostic Radiology 8921188624 Reassigns benefits to 5 organizations
I20240408001776 VA Practitioner - Diagnostic Radiology 8921188624

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
East Central Florida Outpatient Imaging LLCGroup PAC ID 9830175199, 44 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

16177 Verilyn Cir
Naples, FL 34110-2896
Phone (352) 351-7200

16257 Verilyn Cir
Naples, FL 34110-2897
Phone (910) 262-7223

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34395NCMDDiagnostic Radiology Physician
0101245169VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
QMG, LLC Diagnostic Radiology CurrentSince Feb 2, 2024 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Jan 8, 2024 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Delaney Radiologists Group PLLC Specialist Current Accepting new patients
All-Stat Portable MD LLC CurrentSince Nov 13, 2020 Accepting new patients
Centra Medical Group, LLC CurrentSince Jul 31, 2023 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince Jan 14, 2024 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Vpa PC CurrentSince Aug 16, 2021 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Vpa PC CurrentSince Aug 16, 2021 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Feb 11, 2026 Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 11, 2023 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
Delaney Radiologists PA Specialist Past Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 69)

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

31 Telemark Dr
Fraser, CO 80442
Phone (302) 223-4448

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

255 S Routt St
Lakewood, CO 80228
Phone (720) 321-8920

11700 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (720) 321-8020

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

22 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 730-4700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 12

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1902803562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUSKEY",
        "first_name": "WILLIAM",
        "middle_name": "HANES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME103541",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "34395",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "34395",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101245169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.