Individual provider Active NPI

Sean Joseph Kuyper, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1972550416
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME84003 Issued in FL
Practice address
7860 Gate Pkwy
Suite 123
Jacksonville, FL 32256-7279
Phone
(904) 996-8100
Fax
(904) 996-8101
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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 ME84003 FL Primary

Addresses

Primary practice location

7860 Gate Pkwy
Suite 123
Jacksonville, FL 32256-7279

Mailing address

7860 Gate Pkwy
Suite 123
Jacksonville, FL 32256-7279
Phone (904) 996-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20071101000413 FL Practitioner - Diagnostic Radiology 5496842809 Reassigns benefits to 2 organizations
Practice locations: Jacksonville, FL
I20211116000850 GA Practitioner - Diagnostic Radiology 5496842809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

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

3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438

904 River Rd
Orange Park, FL 32073-4130
Phone (904) 399-5550

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

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
ME84003FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 17, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jan 15, 2020 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology Past Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Aug 1, 2021 Accepting new patients

Locations

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

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

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

2200 Vernon St
Lagrange, GA 30240

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

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

1900 Tebeau St
Ste C
Waycross, GA 31501

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

Organizations & group practices 4

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.

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1972550416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 GATE PKWY",
            "address_2": "SUITE 123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567279",
            "telephone_number": "904-996-8100",
            "fax_number": "904-996-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 GATE PKWY",
            "address_2": "SUITE 123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567279",
            "telephone_number": "904-996-8100",
            "fax_number": "904-996-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYPER",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME84003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.