DR. FREDERICK HARTKER (MD) – Diagnostic Radiology Physician, NPI 1477660413

DR. FREDERICK HARTKER (MD) is a healthcare provider. based in Melbourne, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 41437 (AZ). The NPI Number for DR. FREDERICK HARTKER (MD) is 1477660413

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK HARTKER (MD)
NPI
1477660413
Phone
(954) 698-9399
Address
PO BOX 400
Enumeration Date
24 August 2006
Last Update Date
18 July 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3214099990
Graduation Year
1995 (31 years ago)
PAC ID
0840248266
Group Practice PAC ID
6204865223
Professional Enrollment ID
I20050112000133
Address ID
FL329011936ME709XXBLVD502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,182 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. FREDERICK HARTKER (MD)

  • Box Place, Cambridge, Hoppers Crossing, Melbourne, City of Wyndham, Victoria, 3029, Australia

    MELBOURNE, FL 32902

    Phone: (954) 698-9399

    Fax: (954) 698-6963

    Type: Mailing

  • Delaney's Tavern, 1315, South Orange Avenue, South Orange, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 32806

    Phone: (407) 999-9977

    Fax: (321) 309-9033

    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: 2005-01-12

PECOS data refreshed: 2026-06-15

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
I20050112000133IDiagnostic 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
A9576Injection, gadoteridol, (prohance multipack), per ml563499$0
70553Mri scan of brain before and after contrast478440$0
82565Blood creatinine level449416$0
70551Mri scan of brain without contrast248238$0
70544Mri scan of blood vessels of head without contrast7373$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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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: 6204865223View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. FREDERICK HARTKER (MD)?
NPI 1477660413 is assigned to DR. FREDERICK HARTKER (MD) under the national enumeration system.
Is DR. FREDERICK HARTKER (MD) active in the national directory?
DR. FREDERICK HARTKER (MD)'s public NPI profile is in an active state.
What kind of provider is DR. FREDERICK HARTKER (MD)?
The page reflects Diagnostic Radiology Physician for DR. FREDERICK HARTKER (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. FREDERICK HARTKER (MD)?
We surface Melbourne, Florida for DR. FREDERICK HARTKER (MD) based on available NPPES addresses.
How can I contact DR. FREDERICK HARTKER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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