Organization Active NPI

Rad & More LLC

  • Vascular & Interventional Radiology Physician
  • Largo, FL
National Provider Identifier
1942882154
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
RAD & MORE LLC
Doing business as
DR K MED SPA/LARGO CLINIC
Practice address
10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone
(901) 857-0370
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Ali Raza, MDNPI 1457553075
Title
President
Phone
(901) 857-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504

Mailing address

10500 Ulmerton Rd Ste 360
Largo, FL 33771-3504
Phone (901) 857-0370

Other names 1

  • DR K MED SPA/LARGO CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210616001725 FL Part B Supplier - Clinic/Group Practice 8820498637 Receives reassigned benefits from 2 practitioners
Practice locations: Largo, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1942882154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "901-857-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 360",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713504",
            "telephone_number": "901-857-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD & MORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-857-0370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR K MED SPA/LARGO CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DR K MED SPA/LARGO CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.