PARK PLACE MRI – Radiography Radiologic Technologist, NPI 1578544615

PARK PLACE MRI is a healthcare provider. based in Tampa, Florida. specializing in Radiography Radiologic Technologist. The organization holds a License No. HCC3804 (FL). The NPI Number for PARK PLACE MRI is 1578544615

Main info

Organization
Name
PARK PLACE MRI
NPI
1578544615
Phone
(813) 886-9999
Address
6800 N DALE MABRY HWY
Authorized Official
MR. JOHN W STEVENS PRESIDENT
Enumeration Date
7 November 2005
Last Update Date
22 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for PARK PLACE MRI

  • North Dale Mabry Highway, Tampa, Hillsborough County, Florida, 33614, United States

    SUITE 144

    TAMPA, FL 336143997

    Phone: (813) 886-9999

    Fax: (813) 885-2800

    Mailing address matches the actual address.

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: 2004-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20041021000556OIndependent Diagnostic Testing Facility (Idtf)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72148Mri scan of lower spinal canal without contrast7775$0
72141Mri scan of upper spinal canal without contrast3636$0
72146Mri scan of middle spinal canal without contrast1818$0
70553Mri scan of brain before and after contrast1515$0
73721Mri scan of leg joint without contrast1414$0
View full utilization report →

Insurance plans in this area (ZIP 33614)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PARK PLACE MRI?
PARK PLACE MRI — NPI 1578544615 — is the standard way to identify this listing.
Is PARK PLACE MRI still practicing?
PARK PLACE MRI is currently listed as active in the public NPI registry.
What is PARK PLACE MRI best known for clinically?
Directory data describes PARK PLACE MRI with Radiography Radiologic Technologist. Clinical services aligned with this taxonomy classification.
What address line appears for PARK PLACE MRI?
PARK PLACE MRI's geographic hint is Tampa, Florida in our summary view.
Why does PARK PLACE MRI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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