FLORIDA RADIOLOGY ASSOCIATES LLC – Diagnostic Radiology Physician, NPI 1497510978
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FLORIDA RADIOLOGY ASSOCIATES LLC
1895 TYLER ST STE 207
HOLLYWOOD, FL 330204828
Phone: (877) 224-8003
Type: Mailing
600 E DIXIE AVE
LEESBURG, FL 347485925
Phone: (747) 924-9005
Type: Location
951 N Washington Ave
Titusville, FL 327962163
Phone: (877) 224-8003
Type: Location
1451 El Camino Real
The Villages, FL 321590041
Phone: (747) 293-9005
Type: Location
3800 Meggison Rd
The Villages, FL 321633028
Phone: (747) 293-9005
Type: Location
17021 US Highway 441
Mount Dora, FL 327576734
Phone: (747) 293-9005
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: 2026-01-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 27 Medicare enrollment records; no due dates published yet.
Enrollment records
27
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 |
|---|---|---|---|---|
| O20240328001743 | O | Clinic/Group Practice | FL | TBD |
| O20240814000589 | O | Clinic/Group Practice | HI | TBD |
| O20240910004858 | O | Clinic/Group Practice | MD | TBD |
| O20241015004734 | O | Clinic/Group Practice | TX | TBD |
| O20241015004783 | O | Clinic/Group Practice | CO | TBD |
| O20241028002152 | O | Clinic/Group Practice | CA | TBD |
| O20241031001475 | O | Clinic/Group Practice | WI | TBD |
| O20241121001374 | O | Clinic/Group Practice | MI | TBD |
| O20241126003568 | O | Clinic/Group Practice | SC | TBD |
| O20250211000791 | O | Clinic/Group Practice | AZ | TBD |
| O20250415003484 | O | Clinic/Group Practice | KY | TBD |
| O20250416001784 | O | Clinic/Group Practice | KS | TBD |
| O20250506000397 | O | Clinic/Group Practice | IL | TBD |
| O20250509002541 | O | Clinic/Group Practice | CT | TBD |
| O20250513001307 | O | Clinic/Group Practice | NC | TBD |
| O20250519001245 | O | Clinic/Group Practice | MN | TBD |
| O20250603000476 | O | Clinic/Group Practice | GA | TBD |
| O20250804000553 | O | Clinic/Group Practice | NM | TBD |
| O20250804001526 | O | Clinic/Group Practice | PA | TBD |
| O20250806004034 | O | Clinic/Group Practice | TN | TBD |
| O20250812003100 | O | Clinic/Group Practice | VI | TBD |
| O20250814002972 | O | Clinic/Group Practice | NY | TBD |
| O20250822000528 | O | Clinic/Group Practice | IA | TBD |
| O20250826000575 | O | Clinic/Group Practice | VA | TBD |
| O20251105001581 | O | Clinic/Group Practice | NV | TBD |
| O20260109000581 | O | Clinic/Group Practice | OH | TBD |
| O20260130001535 | O | Clinic/Group Practice | IN | 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 33020)
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