Individual provider Active NPI

Medina Calli Kushen, M.D.

  • Nuclear Medicine Physician
  • Tampa, FL
National Provider Identifier
1992984512
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME107859 Issued in FL
Practice address
3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone
(813) 875-3950
Fax
(813) 872-2741
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME107859 FL Primary

Addresses

Primary practice location

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8200

Other practice location 1

8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone (239) 437-5755

Other practice location 2

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

Other practice location 3

8440 Murano Del Lago Dr
Estero, FL 34135-8615
Phone (239) 221-5402

Other identifiers 1

IdentifierTypeStateIssuer
002611600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 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
I20100927000020 FL Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 8022134188 Reassigns benefits to 3 organizations
I20260114000271 OH Practitioner - Nuclear Medicine 8022134188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Minnesota Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Practice addresses (Care Compare)

100 Highland Ave N
Largo, FL 33770-2542
Phone (727) 683-2900

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone (239) 772-3544

1037 S State Rd 7
303 Florida Cancer Specialists P L
Wellington, FL 33414-6140
Phone (561) 366-4100

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

22395 Edgewater Dr
Florida Cancer Specialists P L
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

25243 Elementary Way
Bonita Springs, FL 34135-7882
Phone (239) 204-4933

3530 Kraft Rd
Suite 300
Naples, FL 34105-5020
Phone (239) 353-6636

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

521 N Lecanto Hwy
Florida Cancer Specialists PL
Lecanto, FL 34461-9187
Phone (352) 746-0707

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

6420 W Newberry Rd E Wing
1 Florida Cancer Specialists P L
Gainesville, FL 32605-4308
Phone (352) 332-3900

8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone (239) 437-5755

8350 Sierra Meadows Blvd
2ND
Naples, FL 34113-7328
Phone (239) 732-3140

9320 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 842-8411

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Specialists, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Proscan Imaging of Indianapolis, LLC Diagnostic Radiology CurrentSince Apr 27, 2026 Accepting new patients
Advocate Radiation Oncology, LLC CurrentSince Dec 1, 2025 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince Nov 10, 2025 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Oct 28, 2025 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Nov 10, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Oct 28, 2025 Accepting new patients

Locations

25243 Elementary Way
Bonita Springs, FL 34135
Phone (239) 204-4933

1708 Cape Coral Pkwy W
Ste 313
Cape Coral, FL 33914
Phone (239) 541-3800

8440 Murano del Lago Dr
Estero, FL 34135
Phone (239) 221-5402

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

1390 Grand Venture Dr
North Port, FL 34286
Phone (941) 257-2280

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1992984512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076214",
            "telephone_number": "813-875-3950",
            "fax_number": "813-872-2741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084156",
            "country_code": "US",
            "telephone_number": "239-437-5755",
            "fax_number": "844-746-9471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Grand Venture Dr",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342862309",
            "country_code": "US",
            "telephone_number": "941-257-2280",
            "fax_number": "941-423-8946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Murano Del Lago Dr",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341358615",
            "country_code": "US",
            "telephone_number": "239-221-5402",
            "fax_number": "833-411-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHEN",
        "first_name": "MEDINA",
        "middle_name": "CALLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME107859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002611600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.