WEST FLORIDA RADIOLOGY ASSOCIATES PA – Diagnostic Radiology Physician, NPI 1396724654
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WEST FLORIDA RADIOLOGY ASSOCIATES PA
6478 HIGHWAY 90 STE D
MILTON, FL 325704560
Phone: (850) 564-1030
Fax: (850) 564-1039
Type: Mailing
Santa Rosa Medical Center, 6002, Berryhill Road, Milton, Santa Rosa County, Florida, 32570, United States
MILTON, FL 325705062
Phone: (850) 626-7762
Type: Location
Old Highway 90, Milton, Santa Rosa County, Florida, 32570, United States
SUITE D
MILTON, FL 325704560
Phone: (850) 564-1030
Fax: (850) 564-1039
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: 2023-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
14
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 |
|---|---|---|---|---|
| O20060120000415 | O | Clinic/Group Practice | FL | 2025-08-31 |
| O20181011003037 | O | Clinic/Group Practice | HI | 2024-08-31 |
| O20181116001094 | O | Clinic/Group Practice | WA | 2025-11-30 |
| O20190314002544 | O | Clinic/Group Practice | CA | 2026-01-31 |
| O20190319000381 | O | Clinic/Group Practice | TX | 2026-02-28 |
| O20190319000910 | O | Clinic/Group Practice | CT | 2025-12-31 |
| O20190320002213 | O | Clinic/Group Practice | OH | TBD |
| O20190401001477 | O | Clinic/Group Practice | PA | 2026-03-31 |
| O20190826000348 | O | Clinic/Group Practice | CO | 2026-04-30 |
| O20190828001128 | O | Clinic/Group Practice | MI | 2026-05-31 |
| O20190905000746 | O | Clinic/Group Practice | KS | 2026-06-30 |
| O20190925003546 | O | Clinic/Group Practice | AZ | 2026-07-31 |
| O20230921004351 | O | Clinic/Group Practice | GA | TBD |
| O20231012001209 | O | Clinic/Group Practice | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32570)
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