Extremity MRI and Radiology – Radiology Clinic/Center, NPI 1508859695
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Extremity MRI and Radiology
West Atlantic Boulevard, Pompano Beach, Broward County, Florida, 33069, United States
POMPANO BEACH, FL 330695737
Phone: (545) 105-5329
Type: Location
23, Mountainview Court, Totowa, Passaic County, New Jersey, 07512, United States
TOTOWA, NJ 075121654
Phone: (973) 595-7112
Type: Mailing
9620 Stirling Rd Unit 111
Hollywood, FL 330248081
Phone: (754) 201-1027
Type: Location
10320 GUATEMALA ST
HOLLYWOOD, FL 330264600
Phone:
Type: Mailing
3595 SHERIDAN ST STE 200
HOLLYWOOD, FL 330213657
Phone: (305) 335-4488
Type: Location
3420 WASHINGTON LN
HOLLYWOOD, FL 330264627
Phone:
Type: Mailing
7520 SW 57TH AVE STE A
SOUTH MIAMI, FL 331435330
Phone: (833) 674-3668
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: 2020-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (40 days ago).
Enrollment records
1
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20200320002543 | O | Clinic/Group Practice | FL | 2026-04-30 |
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 33069)
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