Individual provider Active NPI

Jeffrey Benjamin Sacks, M.D.

  • Diagnostic Radiology Physician
  • Vero Beach, FL
National Provider Identifier
1962403188
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME88014 Issued in FL
Practice address
3725 11TH CR
Vero Beach, FL 32960-4804
Phone
(772) 562-0163
Fax
(772) 567-5631
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 ME88014 FL Primary

Addresses

Primary practice location

3725 11TH CR
Vero Beach, FL 32960-4804

Mailing address

3725 11TH CR
Vero Beach, FL 32960-4804
Phone (772) 562-0163

Other identifiers 2

IdentifierTypeStateIssuer
71162OtherFLBLUE CROSS/BLUE SHIELD
267458100MedicaidFL

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
I20040122001186 FL Practitioner - Diagnostic Radiology 4486556156 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

106 Ocean Way
Vero Beach, FL 32963-2717
Phone (336) 433-5000

13521 Saw Palm Creek TRL
Bradenton, FL 34211-2611
Phone (404) 662-2438

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2409 NE 27TH St
Lighthouse Point, FL 33064-8356
Phone (336) 433-5000

3600 N 32ND Ave
Hollywood, FL 33021-2612
Phone (404) 662-2438

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88014FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Indian River MRI Inc CurrentSince Jan 16, 2023 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 1, 2009 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jul 20, 2025 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 26, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Oct 4, 2024 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Jan 16, 2023 Accepting new patients
Crestview MRI CurrentSince Nov 17, 2011 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Sep 17, 2024 Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
Diagnostic Radiology & Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

6600 University Pkwy
Ste 102
Sarasota, FL 34240
Phone (941) 378-3231

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1850 37th St
Vero Beach, FL 32960
Phone (772) 562-3030

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

427 W 3rd Ave
Ste 400
Albany, GA 31701
Phone (229) 312-4012

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 880-7204

2200 Vernon St
Lagrange, GA 30240

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 15

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 15

Hospital & facility affiliations 5

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1962403188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 11TH CR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163",
            "fax_number": "772-567-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 11TH CR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163",
            "fax_number": "772-567-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "JEFFREY",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME88014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "71162",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267458100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.