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

DR. O'KEITH DELLAFOSSE M.D.
NPI 1124453949
Radiology - Diagnostic Radiology in Edina, MN

Active since September 11, 2013PECOS Enrolled
3600 MINNESOTA DR, EDINA, MN 55435(952) 595-1100 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2022, Dec 11, 2019, Mar 29, 2017 and 1 more (4 updates tracked since 2015).

About Dr. O'keith Dellafosse M.d. NPPES

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

DR. O'KEITH DELLAFOSSE M.D. (NPI 1124453949) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Florida (ME125957) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and maintains a secondary practice location in North Miami.

NPPES Registry Identity

NPI1124453949
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. O'KEITH DELLAFOSSECredential: M.D.
Location Address3600 MINNESOTA DREdina, MN 55435-7979
Mailing Address3600 Minnesota DrEdina, MN 55435-7979 · (952) 595-1100
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2009
Enumeration DateSeptember 11, 2013
Last NPPES UpdateOctober 23, 20264 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1124453949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME125957
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR, Edina, MN 55435

Secondary Practice Location 1

Location 12301 Laguna CirNorth Miami, FL 33181-1089 · Phone (305) 510-8624

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. O'keith Dellafosse M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103102744
PECOS Enrollment IDI20190205003683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show O'keith Dellafosse reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Radiology, Mammography
1201 SYCAMORE DR SE STE 400
Washington, DC 20032
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
7550 W UNIVERSITY AVE, SUITE A
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
Diagnostic Radiology
1714 SW 17TH ST STE 300
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
Diagnostic Radiology
13470 TAFT ST
Brooksville, FL 34613
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
Specialist
1545 SAN REMO AVE
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
Specialist
1545 SAN REMO AVE
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR
EDINA, MN 55435

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 O'keith Dellafosse's NPI number?

The NPI number for O'keith Dellafosse is 1124453949. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is O'keith Dellafosse located?

O'keith Dellafosse practices at 3600 Minnesota Dr, Edina, MN 55435. The listed phone number is (952) 595-1100.

What is O'keith Dellafosse's specialty?

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

Is O'keith Dellafosse enrolled in Medicare?

Yes. O'keith Dellafosse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for O'keith Dellafosse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), O'keith Dellafosse reassigns Medicare benefits to 8 organizations: Medical Faculty Associates, Inc (Washington, DC), Breast Care For Washington (Washington, DC), Mammography And Ultrasound Imaging (Gainesville, FL), Radiology Imaging Specialists LLC (Ocala, FL), Advanced Imaging Concepts Pl (Brooksville, FL) and 3 more organizations, listed in the Medicare section above. Each 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 O'keith Dellafosse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does O'keith Dellafosse accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list O'keith Dellafosse 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.

Is O'keith Dellafosse affiliated with any hospitals?

According to CMS data, O'keith Dellafosse is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for O'keith Dellafosse was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.