Individual provider Active NPI

Lidia Linetsky, M.D.

  • Diagnostic Radiology Physician
  • Clearwater, FL
National Provider Identifier
1992804934
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0056282 Issued in FL
Practice address
611 Druid Road East
Suite 302
Clearwater, FL 33756
Phone
(727) 442-6655
Fax
(727) 442-6633
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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 ME0056282 FL Primary

Addresses

Primary practice location

611 Druid Road East
Suite 302
Clearwater, FL 33756

Mailing address

611 Druid Road East
Suite 302
Clearwater, FL 33756
Phone (727) 442-6655

Other identifiers 1

IdentifierTypeStateIssuer
261251800MedicaidFL

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
I20040423001023 FL Practitioner - Diagnostic Radiology 1658367636 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056282FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Jun 22, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Tampa Bay Imaging LLC CurrentSince Jul 12, 2004 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jun 22, 2023 Accepting new patients
Advanced Imaging of Port Charlotte Diagnostic Radiology Past Accepting new patients
Advanced Imaging of Port Charlotte LLC Diagnostic Radiology PastSince Dec 1, 2004 Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

501 S Lincoln Ave
Ste 15
Clearwater, FL 33756
Phone (727) 446-6760

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

36463 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 771-2795

2625 Tamiami Trl
Ste 1
Pt Charlotte, FL 33952
Phone (941) 235-4646

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1992804934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DRUID ROAD EAST",
            "address_2": "SUITE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-442-6655",
            "fax_number": "727-442-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DRUID ROAD EAST",
            "address_2": "SUITE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-442-6655",
            "fax_number": "727-442-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINETSKY",
        "first_name": "LIDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0056282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261251800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.