Summerlin Imaging Center LLC
NPI 1124654405ActiveOrganization· Radiology, Diagnostic Radiology· Gainesville, FL
Radiology, Diagnostic Radiology in Gainesville, Florida, registered in NPPES in March 2020. The authorized official on file is Bradford G. Peters, Financial Officer. Medicare paid $11,584 for services to 71 patients in 2024.
Overview
| NPI | 1124654405 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2020 |
| Last updated in NPPES | Mar 27, 2020 |
| Certified by provider | Mar 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 82 across 9 procedure codes |
| Paid by Medicare | $11,584 |
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