PREMIER RADIATION ONCOLOGY ASSOCIATES LLC
NPI 1306471552
Radiology - Radiation Oncology in Clearwater, FL

Active since March 09, 2020
3155 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761(727) 669-9018(727) 669-4308 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2020, Mar 24, 2020, Mar 9, 2020 (3 updates tracked since 2020).

About Premier Radiation Oncology Associates Llc NPPES

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

PREMIER RADIATION ONCOLOGY ASSOCIATES LLC (NPI 1306471552) is a healthcare organization registered as a radiation oncology in Clearwater, Florida and active in the NPI registry since March 2020. The organization lists Aubrae Russolello, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306471552
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NamePREMIER RADIATION ONCOLOGY ASSOCIATES LLC
Location Address3155 N MCMULLEN BOOTH RDClearwater, FL 33761-2008
Mailing Address3155 N Mcmullen Booth RdClearwater, FL 33761-2008 · (727) 669-9018 · Fax (727) 669-4308
Fax(727) 669-4308
Organization SubpartNo
Authorized OfficialAubrae RussolelloOffice Manager · (727) 669-9018
Enumeration DateMarch 9, 2020
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1306471552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedSpecialistTaxonomy 174400000X
3155 N MCMULLEN BOOTH RD, Clearwater, FL 33761

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Radiation Oncology Associates Llc 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 Premier Radiation Oncology Associates LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Radiation Oncology
NPI 1124255005
3155 N. MCMULLEN BOOTH ROAD
Clearwater, FL 33761
(727) 669-9018
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1447645577
3155 N. MCMULLEN BOOTH RD
Clearwater, FL 33761
(727) 669-9018
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1790752467
3155 N MCMULLEN BOOTH RD
Clearwater, FL 33761
(727) 669-9018
✔ PECOS✔ Accepts MedicareSame address

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 Premier Radiation Oncology Associates LLC's NPI number?

The NPI number for Premier Radiation Oncology Associates LLC is 1306471552. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Premier Radiation Oncology Associates LLC located?

Premier Radiation Oncology Associates LLC is located at 3155 N Mcmullen Booth Rd, Clearwater, FL 33761. The listed phone number is (727) 669-9018.

What is Premier Radiation Oncology Associates LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Premier Radiation Oncology Associates LLC enrolled in Medicare?

Yes. Premier Radiation Oncology Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Radiation Oncology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Radiation Oncology, reassign their Medicare billing to Premier Radiation Oncology Associates LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Radiation Oncology Associates LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Premier Radiation Oncology Associates LLC 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 Premier Radiation Oncology Associates LLC was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.