Clermont Radiology-Kings Ridge – Radiology Clinic/Center, NPI 1003328642
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Clermont Radiology-Kings Ridge
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328593869
Phone: (352) 241-6100
Fax: (352) 241-6101
Type: Mailing
3725 SOUTH HIGHWAY 27
SUITE 104
CLERMONT, FL 34711
Phone: (352) 241-6100
Fax: (352) 241-6101
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: 2019-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (588 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20190221000631 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 108 | 102 | $0 |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 71 | 15 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 70 | 65 | $0 |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 42 | 42 | $0 |
| 78803 | Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging | 32 | 32 | $0 |
Insurance plans in this area (ZIP 32859)
Loading plans...
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.