ROBERTO E MEDINA (MD) – Diagnostic Radiology Physician, NPI 1164696456

ROBERTO E MEDINA (MD) is a healthcare provider. based in Maitland, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD037129 (DC). The NPI Number for ROBERTO E MEDINA (MD) is 1164696456

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTO E MEDINA (MD)
NPI
1164696456
Phone
(407) 200-2355
Address
2600 WESTHALL LN FL 4
Enumeration Date
17 April 2008
Last Update Date
11 April 2016

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
4072002700
Graduation Year
2002 (24 years ago)
PAC ID
3971676222
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20100712000361
Address ID
FL327517102MA2600XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,175 DIAGNOSTIC RADIOLOGY in FL

Loading map...

Provider Addresses for ROBERTO E MEDINA (MD)

  • Westhall Lane, Maitland, Orange County, Florida, 32810, United States

    MAITLAND, FL 327517102

    Phone: (407) 200-2355

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 200-2355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100712000361IDiagnostic RadiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,18538$0
A9575Injection, gadoterate meglumine, 0.1 ml2,00512$0
71045X-ray of chest, 1 view913864$0
74230Imaging for evaluation of swallowing function269248$0
74177Ct scan of abdomen and pelvis with contrast181180$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

Loading plans...

Provider's Procedures

ROBERTO E MEDINA (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast291280
DIAGNOSTIC RADIOLOGYFL76830Ultrasound pelvis through vagina1414
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers135132

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check ROBERTO E MEDINA (MD) using NPI 1164696456?
NPI 1164696456 belongs to ROBERTO E MEDINA (MD); compare other details if you need extra assurance.
Is there an active status for ROBERTO E MEDINA (MD)?
For scheduling context, ROBERTO E MEDINA (MD) is shown as active in the registry.
What area of care is associated with ROBERTO E MEDINA (MD)?
ROBERTO E MEDINA (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is ROBERTO E MEDINA (MD) located near Maitland?
ROBERTO E MEDINA (MD) currently maps to Maitland, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

ALBERTO MANSILLA (M.D.)

Vascular & Interventional Radiology Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1720085525

FRANCIS J JR. FERNANDEZ (M.D.)

Diagnostic Radiology Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1952308702

M CHARLOTTE DAVIS ELENBERGER (M.D.)

Diagnostic Radiology Physician
1600 LAKELAND HILLS BLVD
NPI: 1679571269

DR. BRANDON RUNYAN (M.D.)

Diagnostic Radiology Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1225012198

DR. ALEXANDRA OSORIO (MD)

Diagnostic Radiology Physician
1640, Maitland Avenue, Stonehill, Maitland, Orange County, Florida, 32751, United States
NPI: 1083693063

MARC F SIEGEL (MD)

Diagnostic Radiology Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1669451639

FRED S WITTENSTEIN (MD)

Diagnostic Radiology Physician
Westhall Lane, Maitland, Orange County, Florida, 32810, United States
NPI: 1265412308

AdventHealth Imaging

Diagnostic Radiology Physician
775 PRIMERA BLVD STE 1031
NPI: 1740256494

MYEONG S YOON (M.D.)

Diagnostic Radiology Physician
4500 S GARNETT RD STE 112
NPI: 1497722342