Individual provider Active NPI

Amit Anant Kubal, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1942443676
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME106963 Issued in FL
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P5201 TX
Diagnostic Radiology Physician 2085R0202X ME106963 FL Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000287 FL Practitioner - Diagnostic Radiology 4789708389 Reassigns benefits to 12 organizations
I20260515001146 TX Practitioner - Diagnostic Radiology 4789708389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians
Hospital Specialist Solutions LLCGroup PAC ID 3476040247, 31 clinicians
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Practice addresses (Care Compare)

2229 N Commerce Pkwy
Suite150
Weston, FL 33326-3284
Phone (954) 349-0054

2230 N University Dr
Coral Springs, FL 33071-6100
Phone (954) 753-3800

2390 SW 28TH Ter
Fort Lauderdale, FL 33312-4709
Phone (361) 761-1000

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (863) 902-3000

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

Hospital & facility affiliations

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
ME106963FLMDDiagnostic Radiology Physician
P5201TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Nov 11, 2012 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Rose Radiology Centers, LLC CurrentSince Jan 28, 2019 Accepting new patients
Gulf Coast MRI & Diagnostics, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Hospital Specialist Solutions, LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Shi Specialists LLC CurrentSince Jul 1, 2024 Accepting new patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Oct 6, 2023 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Oct 6, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 6, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 6, 2023 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Nov 11, 2012 Accepting new patients
Florida Radiology Staffing Solutions PA Diagnostic Radiology Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients
Florida Telerad LLC Diagnostic Radiology Past Accepting new patients
Radcare of Florida LLC Diagnostic Radiology Past Accepting new patients

Locations

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

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

7301 NW 4th St
Ste 107
Plantation, FL 33317
Phone (954) 449-7023

1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 19

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 19

Hospital & facility affiliations 1

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1942443676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAL",
        "first_name": "AMIT",
        "middle_name": "ANANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P5201",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME106963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.