FLORIDA RADIOLOGY CONSULTANTS P A – Diagnostic Radiology Physician, NPI 1518911668
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FLORIDA RADIOLOGY CONSULTANTS P A
8791 CONFERENCE DR
SUITE 1
FORT MYERS, FL 339195822
Phone: (239) 331-5566
Fax: (239) 437-7499
Type: Mailing
Lee Memorial Hospital, 2776, Cleveland Avenue, Edison Park Historic District, Fort Myers, Lee County, Florida, 33901, United States
DEPT. OF RADIOLOGY
FORT MYERS, FL 339015864
Phone: (239) 331-5566
Fax: (239) 377-4994
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: 2024-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
19
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20031223000475 | O | Clinic/Group Practice | FL | TBD |
| O20210526001910 | O | Clinic/Group Practice | GA | 2026-05-31 |
| O20210527000470 | O | Clinic/Group Practice | SC | TBD |
| O20210527002938 | O | Clinic/Group Practice | NC | TBD |
| O20210528001259 | O | Clinic/Group Practice | TX | 2026-06-30 |
| O20210607002054 | O | Clinic/Group Practice | VA | TBD |
| O20210628001726 | O | Clinic/Group Practice | CA | 2026-07-31 |
| O20210628002414 | O | Clinic/Group Practice | HI | 2026-08-31 |
| O20210629002534 | O | Clinic/Group Practice | AL | TBD |
| O20210630001686 | O | Clinic/Group Practice | DC | 2026-09-30 |
| O20210707000942 | O | Clinic/Group Practice | TN | 2026-10-31 |
| O20210708001214 | O | Clinic/Group Practice | IL | TBD |
| O20210708002851 | O | Clinic/Group Practice | WA | TBD |
| O20220110000127 | O | Clinic/Group Practice | KS | TBD |
| O20220316000185 | O | Clinic/Group Practice | MI | TBD |
| O20230206001326 | O | Clinic/Group Practice | MT | TBD |
| O20230926001848 | O | Clinic/Group Practice | VT | TBD |
| O20240418001438 | O | Clinic/Group Practice | NY | TBD |
| O20240610003091 | O | Clinic/Group Practice | ND | 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 33919)
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