DYLAN DENAULT (DO) – Diagnostic Radiology Physician, NPI 1649739418

DYLAN DENAULT (DO) is a healthcare provider. based in Brandon, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 20A22762 (CA). The NPI Number for DYLAN DENAULT (DO) is 1649739418

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN DENAULT (DO)
NPI
1649739418
Phone
(813) 681-5551
Address
119 OAKFIELD DR
Enumeration Date
19 March 2019
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
7195957600
Graduation Year
2019 (7 years ago)
PAC ID
4385065143
Group Practice PAC ID
3173415247
Professional Enrollment ID
I20250728001508
Address ID
CO810082212PU3676XBLVD307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,175 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DYLAN DENAULT (DO)

  • Brandon Regional Hospital, 119, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115779

    Phone: (813) 681-5551

    Fax: (813) 916-2944

    Type: Mailing

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-8888

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-7890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: ARGON MEDICAL DEVICES, INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2025-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240521000459IDiagnostic RadiologyCATBD
I20250728001508IDiagnostic RadiologyCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33511)

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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: 3173415247View full group profile
NameSpecialtyState
Diagnostic RadiologyCO
Diagnostic RadiologyUT
Diagnostic RadiologyNC
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineIN
Diagnostic RadiologyCO

Reviews

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Frequently asked questions

Where can patients find DYLAN DENAULT (DO)'s NPI?
You can confirm DYLAN DENAULT (DO) with NPI 1649739418; it appears in the national provider directory.
Is DYLAN DENAULT (DO) currently active in the NPI registry?
CMS-published data lists DYLAN DENAULT (DO) as an active registrant.
Does DYLAN DENAULT (DO) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DYLAN DENAULT (DO). Clinical services aligned with this taxonomy classification.
Does DYLAN DENAULT (DO) practice in Florida?
You will see Brandon, Florida on file for DYLAN DENAULT (DO) alongside any extra practice locations.
Is DYLAN DENAULT (DO) a real provider?
This page reflects official NPPES data for NPI 1649739418. Always confirm identity and privileges with the practice and licensing boards.

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