Active NPI
David E. Nunnelly, M. D.
- Diagnostic Radiology Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME56316
- Practice address
- 1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846 - Phone
- (727) 441-3711
- NPI assigned
- Oct 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME56316 | FL | Primary |
Addresses
Primary practice location
1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846
Mailing address
PO Box 660
Clearwater, FL 33757-0660
Phone (727) 793-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08934 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Kentucky College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
- St Johns Regional Medical Center
- Community Memorial Hospital - Ojai
- Goleta Valley Cottage Hospital
- Santa Ynez Valley Cottage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.53 of 100
- Quality
- 76.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| California Managed Imaging Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Medical Specialist Associates of Florida LLC | Past | Accepting new patients | |
| Pueblo Radiology Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Suncoast Medical Clinic LLC | Past | Accepting new patients | |
| Clearwater Resources Inc | Diagnostic Radiology | Past | Accepting new patients |
| Premier Radiology, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of St. Petersburg PA | Diagnostic Radiology | Past | Accepting new patients |
| Suncoast Medical Clinic LLC | Past | Accepting new patients | |
| Advanced Imaging, LLP | Diagnostic Radiology | Past | Accepting new patients |
| MRI-South Umberton Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 29)
18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314
250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450
2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333
3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700
3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725
3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014
1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 861-2200
2151 E Gonzales Rd
Ste 101
Oxnard, CA 93036
Phone (805) 988-0616
Dept LA 21738
Pasadena, CA 91185
2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111
2320 Bath St
Ste 208
Santa Barbara, CA 93105
2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111
351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406
2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 13
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.
-
- Vascular & Interventional Radiology Physician
- Santa Barbara, CA
- NPI 1821271727
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Diagnostic Radiology Physician
- Safety Harbor, FL
- NPI 1124003702
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1306839493
-
- Specialist
- Dunedin, FL
- NPI 1922023076
-
- Diagnostic Radiology Physician
- Pinellas Park, FL
- NPI 1801889902
-
- Diagnostic Radiology Physician
- Clearwater, FL
- NPI 1376592402
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1922012244
-
- Clinical Medical Laboratory
- St Petersburg, FL
- NPI 1649397662
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1760664882
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
- Critical Access Hospital
- Ojai, CA
- NPI 1992876767
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992795074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337570660",
"telephone_number": "727-793-9300",
"fax_number": "727-793-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 DRUID RD S",
"address_2": "SUITE 302",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563846",
"telephone_number": "727-441-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNELLY",
"first_name": "DAVID",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME56316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08934",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.