EDWARD KESHISHIAN (MD) – Diagnostic Radiology Physician, NPI 1053842625
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for EDWARD KESHISHIAN (MD)
17 DAVIS BLVD STE 308
TAMPA, FL 336063438
Phone: (813) 250-2506
Type: Mailing
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-9000
Type: Location
17, Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States
SUITE 308
TAMPA, FL 336063475
Phone: (813) 250-2506
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,076.
Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Cook Medical LLC ($279).
Total Amount
$1,076
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,076
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $279 |
| Penumbra, Inc. | $229 |
| Inari Medical, Inc. | $224 |
| Thrombolex, Inc. | $143 |
| AngioDynamics, Inc. | $75 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220525001021 | I | Diagnostic Radiology | FL | TBD |
| I20240524000813 | I | Diagnostic Radiology | VI | TBD |
| I20251204001281 | I | Diagnostic Radiology | GA | TBD |
| I20260226002234 | I | Diagnostic Radiology | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,601 | 18 | $0 |
| 71045 | X-ray of chest, 1 view | 802 | 747 | $0 |
| 70450 | Ct scan head or brain without contrast | 401 | 394 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 232 | 13 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 209 | 205 | $0 |
Insurance plans in this area (ZIP 33606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | FL | |
| - | VA | |
| Diagnostic Radiology | FL | |
| - | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OR | |
| Diagnostic Radiology, Interventional Radiology | FL | |
| - | NC |
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