DR. MARK DOUGLAS NANNI (MD) – Diagnostic Radiology Physician, NPI 1184620692

DR. MARK DOUGLAS NANNI (MD) is a healthcare provider. based in Brandon, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME45556 (FL). The NPI Number for DR. MARK DOUGLAS NANNI (MD) is 1184620692

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DOUGLAS NANNI (MD)
NPI
1184620692
Phone
(813) 657-4914
Address
122 LINSLEY AVE
Enumeration Date
21 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
3779481486
Professional Enrollment ID
I20031219000358
Address ID
OK741465214TU4500XRDXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. MARK DOUGLAS NANNI (MD)

  • 122, Linsley Avenue, Brandon, Hillsborough County, Florida, 33511, United States

    STE A

    BRANDON, FL 335115121

    Phone: (813) 657-4914

    Fax: (813) 657-4916

    Type: Mailing

  • 613, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115714

    Phone: (813) 661-2222

    Fax: (813) 681-8494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2003-12-19

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
I20031219000358IDiagnostic 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
71045X-ray of chest, 1 view131123$0
74177Ct scan of abdomen and pelvis with contrast5151$0
74018X-ray of abdomen, 1 view3838$0
70450Ct scan head or brain without contrast3633$0
74176Ct scan of abdomen and pelvis without contrast3434$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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Provider's Procedures

DR. MARK DOUGLAS NANNI (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71250CT scan chest3131
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views1212
DIAGNOSTIC RADIOLOGYFL73630X-ray of foot, minimum of 3 views2725
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1616

Reviews

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Frequently asked questions

How do payers reference DR. MARK DOUGLAS NANNI (MD)?
For DR. MARK DOUGLAS NANNI (MD), use NPI 1184620692 as the unique 10-digit identifier.
Is DR. MARK DOUGLAS NANNI (MD) still an active registrant?
DR. MARK DOUGLAS NANNI (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MARK DOUGLAS NANNI (MD)?
At a glance, DR. MARK DOUGLAS NANNI (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK DOUGLAS NANNI (MD) associated with Brandon?
Public fields place DR. MARK DOUGLAS NANNI (MD) around Brandon, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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