INVERNESS MEDICAL IMAGING LLC – Diagnostic Radiology Physician, NPI 1093763591
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INVERNESS MEDICAL IMAGING LLC
2105 HWY 44 WEST
INVERNESS, FL 344533805
Phone: (352) 419-4818
Fax: (352) 637-1034
Type: Mailing
Fowlerville Road, Inverness, Town of York, Livingston County, New York, 14592, United States
INVERNESS, FL 34452
Phone: (352) 419-4818
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: 2025-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 17 Medicare enrollment records; no due dates published yet.
Enrollment records
17
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 |
|---|---|---|---|---|
| O20061108000195 | O | Clinic/Group Practice | FL | TBD |
| O20220909001077 | O | Clinic/Group Practice | AL | TBD |
| O20221019000002 | O | Clinic/Group Practice | PR | TBD |
| O20221101001937 | O | Clinic/Group Practice | TX | TBD |
| O20221103002842 | O | Clinic/Group Practice | HI | TBD |
| O20230308001721 | O | Clinic/Group Practice | NY | TBD |
| O20230310001307 | O | Clinic/Group Practice | UT | TBD |
| O20230407001139 | O | Clinic/Group Practice | WA | TBD |
| O20230410001450 | O | Clinic/Group Practice | CA | TBD |
| O20230414000066 | O | Clinic/Group Practice | TN | TBD |
| O20230721001407 | O | Clinic/Group Practice | ID | TBD |
| O20240325001708 | O | Clinic/Group Practice | VI | TBD |
| O20240708000787 | O | Clinic/Group Practice | MA | TBD |
| O20250307001255 | O | Clinic/Group Practice | GA | TBD |
| O20250428000690 | O | Clinic/Group Practice | SC | TBD |
| O20250611003672 | O | Clinic/Group Practice | MI | TBD |
| O20250918000559 | O | Clinic/Group Practice | RI | 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 34453)
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