Active NPI
George Michael Antaki, MD
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 57756
- Practice address
- 100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318 - Phone
- (813) 899-6220
- Fax
- (813) 985-8006
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | ME94061 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME94061 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 57756 | TN | Primary |
Addresses
Primary practice location
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Mailing address
100 South Ashley Drive
Suite 1500
Tampa, FL 33602-5318
Phone (813) 899-6220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273649700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050915000635 | FL | Practitioner - Diagnostic Radiology | 6901797844 | Reassigns benefits to 6 organizations |
| I20221128001462 | MS | Practitioner - Diagnostic Radiology | 6901797844 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Columbia University College of Physicians and Surgeons, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SMB Radiology P a
Practice addresses (Care Compare)
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7500
2806 Meadowview CT
Tarpon Springs, FL 34688-7364
Phone (228) 762-1353
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Singing River Gulfport
- Memorial Hospital Biloxi
- Singing River Health System
- Ochsner Medical Center-Hancock
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94061 | FL | MD | Diagnostic Radiology Physician |
| 57756 | TN | MD | Diagnostic Radiology Physician |
Practice roles (22 of 24)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Shi Specialists LLC | Body Imaging | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Mississippi Hma Hospitalists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Body Imaging | Current | Accepting new patients |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Largo Radiology Consultants | Past | Accepting new patients | |
| Laurel Medical Imaging Assoc | Diagnostic Radiology | Past | Accepting new patients |
| Central Florida Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Lakeland Radiologists P a | Diagnostic Radiology | Past | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Space Coast Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Radiology Associates of the Treasure Coast PA Inc | Diagnostic Radiology | Past | Accepting new patients |
| South Bay Hospital Outpatient Diagnostic/Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Southeast Radiology Associates PL | Body Imaging | Past | Accepting new patients |
| Quest Imaging Medical Associates, Inc. | Past | Accepting new patients |
Locations (25 of 31)
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
250 N Wickham Rd
#M
Melbourne, FL 32935
Phone (321) 637-2600
1248 S Harbor City Blvd
Melbourne, FL 32901
Phone (435) 623-3165
1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900
4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769
2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 23
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.
-
- Hospitalist Physician
- Jackson, MS
- NPI 1154608883
Diagnostic Radiology, FL, MS
-
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
Diagnostic Radiology
-
- Radiology Clinic/Center
- Melbourne, FL
- NPI 1215017710
-
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1609211432
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1669267134
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Wesley Chapel, FL
- NPI 1891955860
Diagnostic Radiology
Hospital & facility affiliations 64
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1962479964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SOUTH ASHLEY DRIVE",
"address_2": "SUITE 1500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025318",
"telephone_number": "813-899-6220",
"fax_number": "813-985-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ASHLEY DRIVE",
"address_2": "SUITE 1500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025318",
"telephone_number": "813-899-6220",
"fax_number": "813-985-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTAKI",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "FL",
"license": "ME94061",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME94061",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "57756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273649700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.