BAYCARE OUTPATIENT IMAGING LLC
NPI 1366067712
Radiology - Diagnostic Radiology in Tampa, FL

Active since June 11, 2020CLIA 10D2189779 · Waiver
711 S DALE MABRY HWY, TAMPA, FL 33609(813) 259-1900(813) 635-2613 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Apr 19, 2021, Jun 11, 2020 (3 updates tracked since 2020).

About Baycare Outpatient Imaging Llc NPPES

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

BAYCARE OUTPATIENT IMAGING LLC (NPI 1366067712) is a healthcare organization registered as a diagnostic radiology in Tampa, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through August 4, 2028 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366067712
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address711 S DALE MABRY HWYTampa, FL 33609-4445
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 281-9065 · Fax (813) 635-2613
Fax(813) 635-2613
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateJune 11, 2020
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1366067712 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.
711 S DALE MABRY HWY, Tampa, FL 33609

Other Identifiers 1

Medicaid101818501FL

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 MULTIPLE 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)

Baycare Outpatient Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

169

Medicare enrollment records show 169 clinicians reassign Medicare billing to Baycare Outpatient Imaging LLC, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology154
Interventional Radiology13
Nuclear Medicine1
Nurse Practitioner1

Nearest to this location (20)

See all 169
Diagnostic Radiology
NPI 1609404722
17 DAVIS BLVD STE 308
Tampa, FL 33606
(813) 844-7000
✔ PECOS✔ Accepts Medicare2.9 mi
Interventional Radiology
NPI 1184185720
17 DAVIS BLVD STE 308
Tampa, FL 33606
(813) 250-2529
✔ PECOS✔ Accepts Medicare2.9 mi
Interventional Radiology
NPI 1033643697
17 DAVIS BLVD SUITE 308
Tampa, FL 33606
(813) 259-8515
✔ PECOS✔ Accepts Medicare2.9 mi
Diagnostic Radiology
NPI 1699953562
2 COLUMBIA DR J402
Tampa, FL 33606
(813) 844-7412
✔ PECOS✔ Accepts Medicare3.1 mi
Diagnostic Radiology
NPI 1437441250
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.2 mi
Diagnostic Radiology
NPI 1477841369
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.2 mi
Diagnostic Radiology
NPI 1932316098
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.2 mi
Diagnostic Radiology
NPI 1982828752
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6900
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1295872240
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1629277249
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 870-4919
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1255741344
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1285051441
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6915
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1336114206
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6951
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1326014572
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6951
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1710952155
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6951
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1114001252
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6901
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1962504621
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 554-8600
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1285610923
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6900
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1366417610
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6951
✔ PECOS✔ Accepts Medicare3.6 mi
Diagnostic Radiology
NPI 1225010564
4516 N ARMENIA AVE
Tampa, FL 33603
(813) 348-6900
✔ PECOS✔ Accepts Medicare3.6 mi
See all 169 clinicians

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 10D2189779

Baycare Outpatient Imaging LLC · Tampa, FL
Active · expires Aug 4, 2028
CLIA Number10D2189779
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateAugust 5, 2026
Certificate Expiration DateAugust 4, 2028
Laboratory DirectorRyan Telford
Laboratory Phone(813) 259-1900
Laboratory LocationBaycare Outpatient Imaging LLC711 S Dale Mabry Hwy - Ste 101, Tampa, FL 33609
CLIA data matches this NPI record on: Address 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 Baycare Outpatient Imaging LLC's NPI number?

The NPI number for Baycare Outpatient Imaging LLC is 1366067712. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 711 S Dale Mabry Hwy, Tampa, FL 33609. The listed phone number is (813) 259-1900.

What is Baycare Outpatient Imaging LLC's specialty?

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

Is Baycare Outpatient Imaging LLC enrolled in Medicare?

Yes. Baycare Outpatient Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baycare Outpatient Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 169 clinicians in 4 Medicare specialties reassign their Medicare billing to Baycare Outpatient Imaging 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. The largest specialties are Diagnostic Radiology (154), Interventional Radiology (13) and Nuclear Medicine (1). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baycare Outpatient Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2189779) is associated with this NPI, valid through August 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baycare Outpatient Imaging LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Baycare Outpatient Imaging 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 Baycare Outpatient Imaging LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.