SOUTHEAST MEDICAL IMAGING SERVICES INC – Diagnostic Radiology Physician, NPI 1124010855
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHEAST MEDICAL IMAGING SERVICES INC
4800, Linton Boulevard, Delray Beach, Palm Beach County, Florida, 33445, United States
SUITE D-503
DELRAY BEACH, FL 334456584
Phone: (561) 865-3660
Fax: (561) 865-3661
Type: Mailing
4800 LINTON BLVD STE D503
DELRAY BEACH, FL 334456593
Phone: (561) 865-3660
Fax: (561) 865-3661
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: 2018-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (678 days ago).
Enrollment records
2
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20040612000015 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20180126001894 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 2024-07-31 |
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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 364 | 363 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 268 | 134 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 212 | 53 | $0 |
| J1245 | Injection, dipyridamole, per 10 mg | 182 | 36 | $0 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 136 | 136 | $0 |
Insurance plans in this area (ZIP 33445)
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