Daniel Seckinger, MD

Individual provider Active NPI Body Imaging Physician · Village of Palmetto Bay, FL

NPI 1962463356 · NPPES record last updated Aug 17, 2016

Key facts

NPI
1962463356
Entity type
Individual (NPI type 1)
Primary specialty
Body Imaging Physician 2085B0100X
License
ME55392 (FL)
Practice address
9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778
Phone
(305) 251-2500
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090715000182 FL Practitioner - Diagnostic Radiology 0749332286 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Current
since Sep 1, 2011
Accepting new patients
Gastro Health, LLC Current
since Sep 1, 2011
Accepting new patients
Life Radiology LLC Past Accepting new patients
Comprehensive Breast Care Centers Past Accepting new patients
North Beach Radiology Associates, LLC Past Accepting new patients
Northeast Radiology Inc Past
since Jun 1, 2002
Accepting new patients
Medicenter Open MRI LLC Past Accepting new patients

Locations

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7500 SW 87th Ave
Ste 200A
Miami, FL 33173
Phone (305) 468-4190

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

9333 SW 152nd St
Ste 202
Palmetto Bay, FL 33157

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME55392 FL Yes

Addresses

Primary practice location

9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778

Mailing address

9333 SW 152ND St
Suite 202
Palmetto Bay, FL 33157-1778
Phone (305) 665-4614

Other identifiers

IdentifierTypeStateIssuer
058292100MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2016.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1962463356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "address_2": "SUITE 202",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-251-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKINGER",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME55392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058292100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

All providers in Village of Palmetto Bay, FL · Body Imaging Physician in Florida

Sources for this page

Verify at the official NPI Registry.