RADIOLOGY REGIONAL CENTER P A – Diagnostic Radiology Physician, NPI 1407809262
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RADIOLOGY REGIONAL CENTER P A
1708 Cape Coral Pkwy W Ste 3
Cape Coral, FL 339146985
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
14551 HOPE CENTER LOOP
FORT MYERS, FL 339124704
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
2301 Del Prado Blvd S Ste 420
Cape Coral, FL 339904698
Phone: (239) 936-2316
Type: Location
6140 Winkler Rd
Fort Myers, FL 339198188
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
10201 Arcos Ave Ste 101
Estero, FL 339289460
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
6100 Winkler Rd
Fort Myers, FL 339198126
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
18300 Murdock Cir Unit 101
Port Charlotte, FL 339481116
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
1875 Veterans Park Dr Ste 2101
Naples, FL 341090596
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
1110 Lee Blvd
Lehigh Acres, FL 339364844
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
6600 University Pkwy Ste 102
Sarasota, FL 342409040
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
9776 Bonita Beach Rd SE Ste 101A
Bonita Springs, FL 341354773
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
700 Goodlette Rd
Naples, FL 341025644
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
805 Del Prado Blvd S
Cape Coral, FL 339902666
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 339124705
Phone: (239) 936-2316
Fax: (239) 936-3099
Type: Location
3660, Broadway, Tropical Trailer Park, Fort Myers, Lee County, Florida, 33901, United States
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Fax: (239) 834-6106
Type: Mailing
3680, Broadway, Tropical Trailer Park, Fort Myers, Lee County, Florida, 33901, United States
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Fax: (239) 834-6106
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: 2025-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (46 days away).
Enrollment records
17
Earliest due date
2026-07-31
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 |
|---|---|---|---|---|
| O20040603000024 | O | Clinic/Group Practice | FL | TBD |
| O20201202000077 | O | Clinic/Group Practice | PR | 2026-07-31 |
| O20210610001698 | O | Clinic/Group Practice | MI | 2026-08-31 |
| O20220329002003 | O | Clinic/Group Practice | VA | TBD |
| O20220330001238 | O | Clinic/Group Practice | CO | TBD |
| O20220408000096 | O | Clinic/Group Practice | NY | TBD |
| O20220412002394 | O | Clinic/Group Practice | TX | TBD |
| O20220521000165 | O | Clinic/Group Practice | NC | TBD |
| O20220922000048 | O | Clinic/Group Practice | TN | TBD |
| O20230412001943 | O | Clinic/Group Practice | CA | TBD |
| O20240325003670 | O | Clinic/Group Practice | WI | TBD |
| O20240328001220 | O | Clinic/Group Practice | KY | TBD |
| O20241206001606 | O | Clinic/Group Practice | SC | TBD |
| O20250310002866 | O | Clinic/Group Practice | AZ | TBD |
| O20250623001525 | O | Clinic/Group Practice | MA | TBD |
| O20250903000643 | O | Clinic/Group Practice | UT | TBD |
| O20251028001911 | O | Clinic/Group Practice | VI | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 33914)
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