DR. KEITH L MULLENGER (M.D.) – Diagnostic Radiology Physician, NPI 1366481079
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. KEITH L MULLENGER (M.D.)
600 N Congress Ave Ste 230
Delray Beach, FL 334453428
Phone: (561) 299-0003
Type: Location
Residence Inn by Marriott Fort Lauderdale Airport & Cruise Port, 4801, Anglers Avenue, Avon Park, Dania Beach, Broward County, Florida, 33312, United States
STE 24
FORT LAUDERDALE, FL 333126653
Phone: (954) 962-6265
Fax: (954) 893-9595
Type: Mailing
875, Military Trail, Jupiter, Palm Beach County, Florida, 33458, United States
JUPITER, FL 334585700
Phone: (561) 748-9828
Fax: (561) 630-4543
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: 2004-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040326000816 | I | Diagnostic Radiology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33445)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | CT | |
| - | FL | |
| - | FL | |
| Diagnostic Radiology | FL | |
| Nuclear Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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