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DIAGNOSTIC IMAGING PA
NPI 1285870089
Radiology - Diagnostic Radiology in Ponte Vedra Beach, FL

Active since December 29, 2008
1052 PONTE VEDRA BLVD, PONTE VEDRA BEACH, FL 32082(904) 551-0703(904) 551-0709 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2021, Aug 26, 2021 (2 updates tracked since 2021).

About Diagnostic Imaging Pa NPPES

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

DIAGNOSTIC IMAGING PA (NPI 1285870089) is a healthcare organization registered as a diagnostic radiology in Ponte Vedra Beach, Florida and active in the NPI registry since December 2008. The organization lists Shahid M Nasir, President, as its authorized official.

NPPES Registry Identity

NPI1285870089
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDIAGNOSTIC IMAGING PA
Location Address1052 PONTE VEDRA BLVDPonte Vedra Beach, FL 32082-4015
Mailing Address130 Corridor Rd Unit 428Ponte Vedra Beach, FL 32004-7718 · (904) 551-0703 · Fax (904) 551-0709
Phone(904) 551-0703
Fax(904) 551-0709
Organization SubpartNo
Authorized OfficialShahid M NasirPresident · (904) 629-6733
Enumeration DateDecember 29, 2008
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
✔ NPI 1285870089 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.
1052 PONTE VEDRA BLVD, Ponte Vedra Beach, FL 32082
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Other Identifiers 1

Medicaid000703600FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Diagnostic Imaging PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Shahid Nasir, MD
Diagnostic Radiology
NPI 1811904238
1052 PONTE VEDRA BLVD
Ponte Vedra Beach, FL 32082
(904) 551-0703
✔ PECOSSame address
Paul Vitulli, DO
Interventional Radiology
NPI 1932142114
330 A1A N SUITE 322
Ponte Vedra Beach, FL 32082
(904) 551-0703
✔ PECOS✔ Accepts Medicare4.7 mi
Megan Deacon-Casey, MD
Interventional Radiology
NPI 1235112517
330 A1A N SUITE 322
Ponte Vedra Beach, FL 32082
(904) 551-0703
✔ PECOS✔ Accepts Medicare22 mi

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 Diagnostic Imaging PA's NPI number?

The NPI number for Diagnostic Imaging PA is 1285870089. It was assigned to this organization in the NPPES registry on December 29, 2008.

Where is Diagnostic Imaging PA located?

Diagnostic Imaging PA is located at 1052 Ponte Vedra Blvd, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 551-0703.

What is Diagnostic Imaging PA's specialty?

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

Is Diagnostic Imaging PA enrolled in Medicare?

Yes. Diagnostic Imaging PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diagnostic Imaging PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Diagnostic Imaging PA, in Diagnostic Radiology and Interventional Radiology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Diagnostic Imaging PA was last updated on October 7, 2021. 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.