ADVANCED DIAGNOSTIC GROUP – Diagnostic Radiology Physician, NPI 1033145669
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ADVANCED DIAGNOSTIC GROUP
6800, Southpoint Parkway, Jacksonville, Duval County, Florida, 32216, United States
SUITE 401
JACKSONVILLE, FL 322166257
Phone: (904) 296-8998
Fax: (904) 296-8997
Type: Location
607, West Dr. Martin Luther King Jr Boulevard, Richardsons Village, Tampa, Hillsborough County, Florida, 33603, United States
SUITE 103
TAMPA, FL 336033453
Phone: (813) 463-4444
Fax: (813) 849-6349
Type: Mailing
4933 UNIVERSITY BLVD W STE 1
JACKSONVILLE, FL 322165935
Phone: (904) 733-7800
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: 2023-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (652 days ago).
Enrollment records
2
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20130911000770 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 2024-08-31 |
| O20230711003904 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 4,876 | 31 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 342 | 340 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 140 | 138 | $0 |
| 73221 | Mri scan of arm joint without contrast | 76 | 69 | $0 |
| 70551 | Mri scan of brain without contrast | 63 | 62 | $0 |
Insurance plans in this area (ZIP 32216)
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