LAKES RADIOLOGY INC – Diagnostic Radiology Physician, NPI 1679619589
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for LAKES RADIOLOGY INC
15600, Northwest 67th Avenue, Miami Lakes, Miami-Dade County, Florida, 33014, United States
SUITE # 107 / 304
MIAMI LAKES, FL 330142174
Phone: (305) 231-1115
Fax: (305) 231-1116
Type: Mailing
14575 NW 77TH AVE STE 100-200
MIAMI LAKES, FL 330142547
Phone: (305) 231-1115
Fax: (305) 231-1116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2011-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| O20031202000031 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20110404000057 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,600 | 52 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 1,030 | 65 | $0 |
| 77067 | Screening mammography | 111 | 111 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 104 | 104 | $0 |
| 71046 | X-ray of chest, 2 views | 100 | 97 | $0 |
Insurance plans in this area (ZIP 33014)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.