Active NPI
Medina Calli Kushen, M.D.
- Nuclear Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- ME107859
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002611600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- 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
- Nuclear Medicine
- Education
- University of Minnesota Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Healthcare Specialists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Imaging of Indianapolis, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advocate Radiation Oncology, LLC | Current | Accepting new patients | |
| CT at Midtown | Diagnostic Radiology | Current | Accepting new patients |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | 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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Diagnostic Radiology
-
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1457050106
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1003406711
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1588654610
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1508856667
-
- Radiation Oncology Physician
- Port Charlotte, FL
- NPI 1841753969
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1740873371
-
- Diagnostic Radiology Physician
- Avon, IN
- NPI 1043370174
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.