DIAGNOSTIC IMAGING SERVICES INC – Diagnostic Radiology Physician, NPI 1255301354
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIAGNOSTIC IMAGING SERVICES INC
919, Southeast Central Parkway, Stuart, Martin County, Florida, 34994, United States
STUART, FL 349943904
Phone: (772) 220-1391
Fax: (772) 220-4087
Type: Mailing
200 SE HOSPITAL AVE
STUART, FL 349942346
Phone: (772) 287-5200
Type: Location
300, Southeast Hospital Avenue, Stuart, Martin County, Florida, 34994, United States
STUART, FL 349942338
Phone: (772) 220-1391
Fax: (772) 220-4087
Type: Location
PO BOX 3168
INDIANAPOLIS, IN 462063168
Phone: (855) 251-1854
Fax: (855) 270-9738
Type: Mailing
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: 2024-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| O20031120000110 | O | Clinic/Group Practice | FL | TBD |
| O20230804001112 | O | Clinic/Group Practice | GA | TBD |
| O20240409004133 | O | Clinic/Group Practice | SC | 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 34994)
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