SOUTH FLORIDA MEDICAL IMAGING, PA – Diagnostic Radiology Physician, NPI 1518945575
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH FLORIDA MEDICAL IMAGING, PA
1000 NE 56th St
Oakland Park, FL 333344149
Phone: (954) 202-0277
Type: Location
1115 S Federal Hwy
Fort Lauderdale, FL 333161256
Phone: (954) 764-6646
Type: Location
3481 N University Dr
Coral Springs, FL 330651628
Phone: (954) 542-2800
Type: Location
PO BOX 11398
FORT LAUDERDALE, FL 333391398
Phone: (844) 215-3267
Fax: (772) 621-3180
Type: Mailing
North Federal Highway, Fort Lauderdale, Broward County, Florida, 33394, United States
FT LAUDERDALE, FL 333084603
Phone: (954) 202-0277
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: 2022-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
27
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20040330000371 | O | Clinic/Group Practice | FL | 2023-07-31 |
| O20160219000109 | O | Clinic/Group Practice | MD | TBD |
| O20171220002391 | O | Clinic/Group Practice | UT | TBD |
| O20171228002026 | O | Clinic/Group Practice | OH | TBD |
| O20171228002520 | O | Clinic/Group Practice | HI | 2023-12-31 |
| O20180102001914 | O | Clinic/Group Practice | CA | TBD |
| O20180102002639 | O | Clinic/Group Practice | CO | 2024-03-31 |
| O20180103001177 | O | Clinic/Group Practice | TX | 2024-03-31 |
| O20180103003088 | O | Clinic/Group Practice | AZ | 2024-07-31 |
| O20180104001731 | O | Clinic/Group Practice | KS | 2024-01-31 |
| O20180110002284 | O | Clinic/Group Practice | WA | 2024-08-31 |
| O20180111001165 | O | Clinic/Group Practice | PA | 2024-09-30 |
| O20180115001029 | O | Clinic/Group Practice | NV | TBD |
| O20180130000572 | O | Clinic/Group Practice | NC | 2025-07-31 |
| O20180212000435 | O | Clinic/Group Practice | SC | TBD |
| O20180329000263 | O | Clinic/Group Practice | AL | 2025-09-30 |
| O20181107001317 | O | Clinic/Group Practice | ID | 2025-11-30 |
| O20181218001284 | O | Clinic/Group Practice | IL | 2023-12-31 |
| O20190125001409 | O | Clinic/Group Practice | GA | 2025-12-31 |
| O20191230000385 | O | Clinic/Group Practice | WI | 2026-01-31 |
| O20200218001030 | O | Clinic/Group Practice | LA | 2026-02-28 |
| O20200813001108 | O | Clinic/Group Practice | OR | 2026-07-31 |
| O20200908001058 | O | Clinic/Group Practice | VA | 2026-08-31 |
| O20210223000952 | O | Clinic/Group Practice | MA | 2026-09-30 |
| O20220228001210 | O | Clinic/Group Practice | NY | TBD |
| O20220321000646 | O | Clinic/Group Practice | MS | TBD |
| O20220606000936 | O | Clinic/Group Practice | MI | 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 33334)
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