Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
NPI 1003866773
Radiology - Diagnostic Radiology in Tallahassee, FL

Active since May 11, 2006
1600 PHILLIPS RD, TALLAHASSEE, FL 32308(850) 878-4127(850) 878-0337 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Radiology Associates Of Tallahassee Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA (NPI 1003866773) is a healthcare organization registered as a diagnostic radiology in Tallahassee, Florida and active in the NPI registry since May 2006. The organization lists John R Detelich, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003866773
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Location Address1600 PHILLIPS RDTallahassee, FL 32308-5304
Mailing AddressPo Box 1678Tallahassee, FL 32302-1678 · (850) 878-4102 · Fax (850) 942-4155
Fax(850) 878-0337
Organization SubpartNo
Authorized OfficialJohn R DetelichCeo · (850) 878-4127
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1003866773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
1600 PHILLIPS RD, Tallahassee, FL 32308

Other Identifiers 7

Medicaid053297505FL
Medicaid300037169AGA
Medicaid053297500FL
Other00060FL · Bcbs
Medicaid053297501FL
Medicaid053297504FL
MedicaidN4026FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiology Associates Of Tallahassee Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210202003394Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Radiology Associates Of Tallahassee PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology93
Interventional Radiology4
Nurse Practitioner1

Nearest to this location (20)

See all 98
Diagnostic Radiology
NPI 1629021811
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1942248778
1600 PHILLIPS RD RADIOLOGY DEPT
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1922047752
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1366496895
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184513087
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1457305096
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1669482725
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1376659953
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 216-3686
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1124220371
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1316990328
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1144276387
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1164614095
1600 PHILLIPS RD
Tallahassee, FL 32308
(850) 878-4127
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1447638606
1300 MICCOSUKEE RD
Tallahassee, FL 32308
(850) 431-7910
✔ PECOS✔ Accepts Medicare1.2 mi
Diagnostic Radiology
NPI 1104263839
4250 HOSPITAL DR
Marianna, FL 32446
(850) 526-2200
✔ PECOS✔ Accepts Medicare64 mi
Diagnostic Radiology
NPI 1689017345
1600 SW ARCHER ROAD
Gainesville, FL 32610
(352) 265-0291
✔ PECOS✔ Accepts Medicare127 mi
Diagnostic Radiology
NPI 1447605704
800 PRUDENTIAL DR FL 8202
Jacksonville, FL 32207
(703) 732-5623
✔ PECOS154 mi
Diagnostic Radiology
NPI 1275063992
11375 CORTEZ BLVD
Brooksville, FL 34613
(352) 596-6632
✔ PECOS✔ Accepts Medicare168 mi
Interventional Radiology
NPI 1033643697
17 DAVIS BLVD SUITE 308
Tampa, FL 33606
(813) 259-8515
✔ PECOS✔ Accepts Medicare204 mi
Interventional Radiology
NPI 1871545269
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS999 mi
Interventional Radiology
NPI 1699921627
725 WELCH RD
Palo Alto, CA 94304
(650) 497-8000
✔ PECOS✔ Accepts Medicare2,216 mi
See all 98 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiology Associates Of Tallahassee PA's NPI number?

The NPI number for Radiology Associates Of Tallahassee PA is 1003866773. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Radiology Associates Of Tallahassee PA located?

Radiology Associates Of Tallahassee PA is located at 1600 Phillips Rd, Tallahassee, FL 32308. The listed phone number is (850) 878-4127.

What is Radiology Associates Of Tallahassee PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Radiology Associates Of Tallahassee PA enrolled in Medicare?

Yes. Radiology Associates Of Tallahassee PA is registered in the Medicare PECOS enrollment system.

When is Radiology Associates Of Tallahassee PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Radiology Associates Of Tallahassee PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 3 Medicare specialties reassign their Medicare billing to Radiology Associates Of Tallahassee PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (93), Interventional Radiology (4) and Nurse Practitioner (1). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radiology Associates Of Tallahassee PA accept?

Health plans from Capital Health Plan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Radiology Associates Of Tallahassee PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radiology Associates Of Tallahassee PA was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.