BLUEWATER DIAGNOSTIC IMAGING
NPI 1073158481
Radiology - Diagnostic Radiology in Niceville, FL

Q: What is Bluewater Radiology, PLLC's NPI number?

The NPI number for Bluewater Radiology, PLLC is 1073158481. It was assigned to this organization in the NPPES registry on November 8, 2019. The provider is doing business as Bluewater Diagnostic Imaging.

Q: What is Bluewater Radiology, PLLC's specialty?

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

Active since November 08, 2019CLIA 10D1052527 · Waiver

4536 E HIGHWAY 20, NICEVILLE, FL 32578(850) 729-6747(850) 729-7279 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2020, Nov 8, 2019 (2 updates tracked since 2019).

On this page

About Bluewater Diagnostic Imaging NPPES

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

BLUEWATER DIAGNOSTIC IMAGING (NPI 1073158481) is a healthcare organization registered as a diagnostic radiology in Niceville, Florida and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Ross Barnett, Owner, as its authorized official.

NPPES Registry Identity

NPI1073158481

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameBLUEWATER RADIOLOGY, PLLC

Location Address4536 E HIGHWAY 20Niceville, FL 32578-9755

Mailing AddressPo Box 242848Montgomery, AL 36124-2848 · (334) 270-9914 · Fax (334) 270-3195

Phone(850) 729-6747

Fax(850) 729-7279

Organization SubpartNo

Authorized OfficialRoss BarnettOwner · (850) 729-6747

Enumeration DateNovember 8, 2019

Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1073158481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4536 E HIGHWAY 20, Niceville, FL 32578

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Other Names 1

Doing Business AsBluewater Diagnostic Imaging

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluewater Diagnostic Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bluewater Diagnostic Imaging, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ross Barnett, M.D.

Diagnostic Radiology

NPI 1205808755

7094 UNIVERSITY CT
Montgomery, AL 36117

(334) 271-1345

✔ PECOS131 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1052527

Bluewater Radiology, PLLC · Niceville, FL

Active · expires Jul 12, 2028

CLIA Number10D1052527

Laboratory TypeRadiology Imaginf

Certificate Effective DateJuly 13, 2026

Certificate Expiration DateJuly 12, 2028

Laboratory DirectorRoss W. Barnett

Laboratory Phone(850) 729-6747

Laboratory LocationBluewater Radiology, PLLC4536 Hwy 20 E, Niceville, FL 32578

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Bluewater Radiology, PLLC's NPI number?

The NPI number for Bluewater Radiology, PLLC is 1073158481. It was assigned to this organization in the NPPES registry on November 8, 2019. The provider is doing business as Bluewater Diagnostic Imaging.

Where is Bluewater Radiology, PLLC located?

Bluewater Radiology, PLLC is located at 4536 E Highway 20, Niceville, FL 32578. The listed phone number is (850) 729-6747.

What is Bluewater Radiology, PLLC's specialty?

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

Is Bluewater Radiology, PLLC enrolled in Medicare?

Yes. Bluewater Radiology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluewater Radiology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Bluewater Radiology, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bluewater Radiology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1052527) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluewater Radiology, PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Bluewater Radiology, PLLC 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 Bluewater Radiology, PLLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.