Active NPI
Heitor Okanobo, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME119655
- Practice address
- 9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307 - Phone
- (317) 579-2150
- Fax
- (317) 579-2130
- NPI assigned
- Aug 27, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME119655 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01097980A | IN |
Addresses
Primary practice location
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Mailing address
2330 Utah Ave
El Segundo, CA 90245-4817
Phone (424) 290-8004
Other practice location 1
2330 Utah Ave
El Segundo, CA 90245-4817
Phone (424) 290-8004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300124187 | Medicaid | IN | |
| 020279100 | Medicaid | FL |
Other names 1
- Dr. Heitor Okanobo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (904) 399-5550
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2436 Parson LN
Sarasota, FL 34239-6331
Phone (317) 806-8260
2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550
2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155
3333 Cattlemen Rd
Sarasota, FL 34232-6057
4719 N Habana Ave
Tampa, FL 33614-7105
Phone 81325327211937
4761 Sacra CT
Sarasota, FL 34240-4712
Phone (317) 806-8260
5880 Rand Blvd
Sarasota, FL 34238-5118
Phone (904) 399-5550
720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331
921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390
943 S Beneva Rd
Suite 113
Sarasota, FL 34232-2471
Phone (941) 316-0133
965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888
9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- Franciscan Health Indianapolis
- Community Hospital East
- Community Hospital North
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME119655 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Radiology of Indiana P C | Diagnostic Radiology | Current | Accepting new patients |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Intercoastal Medical Group Inc | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
2253 Heart Pine Ave
Odessa, FL 33556
Phone (813) 723-5911
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191
2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100
4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769
2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822
13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
541 Main St
Ste 400
Weymouth, MA 02190
Phone (781) 340-0100
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
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.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
-
- Rural Health Clinic/Center
- Greensburg, IN
- NPI 1437900800
-
- General Practice Physician
- Greensburg, IN
- NPI 1619193505
-
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
-
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
-
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1396942926
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1669267134
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1992938716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 UTAH AVE",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454817",
"telephone_number": "424-290-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9998 CROSSPOINT BLVD STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563307",
"telephone_number": "317-579-2150",
"fax_number": "317-579-2130"
}
],
"practiceLocations": [
{
"address_1": "2330 Utah Ave",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902454817",
"country_code": "US",
"telephone_number": "424-290-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKANOBO",
"first_name": "HEITOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-27",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME119655",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01097980A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300124187",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020279100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEITOR",
"last_name": "OKANOBO",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.