BAYCARE OUTPATIENT IMAGING LLC
NPI 1376238642
Radiology - Diagnostic Radiology in Plant City, FL

Active since April 11, 2023CLIA 10D2294665 · Waiver
3198 N. PARK ROAD, SUITE 102, PLANT CITY, FL 33563(813) 757-1204(813) 757-1212 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 11, 2023 (2 updates tracked since 2023).

About Baycare Outpatient Imaging Llc NPPES

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

BAYCARE OUTPATIENT IMAGING LLC (NPI 1376238642) is a healthcare organization registered as a diagnostic radiology in Plant City, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376238642
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address3198 N. PARK ROAD, SUITE 102Plant City, FL 33563
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-6974 · Fax (813) 635-2613
Fax(813) 757-1212
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1376238642 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.
3198 N. PARK ROAD, Plant City, FL 33563

Other Identifiers 1

Medicaid101818505FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, 17 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 1649245903
1324 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-1100
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1477534527
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1215928882
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1740271121
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1427039619
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS9.1 mi
Diagnostic Radiology
NPI 1538150933
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1437140951
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1407894587
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1831180124
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Interventional Radiology
NPI 1104315316
1417 LAKELAND HILLS BLVD STE 102
Lakeland, FL 33805
(863) 577-0316
✔ PECOS9.1 mi
Diagnostic Radiology
NPI 1720079270
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1811191661
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1508286329
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1275092223
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1184940330
2120 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.2 mi
Diagnostic Radiology
NPI 1316135429
2120 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.2 mi
Diagnostic Radiology
NPI 1316945595
2120 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare9.2 mi
Diagnostic Radiology
NPI 1447439575
2115 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1740581016
3100 E FLETCHER AVE
Tampa, FL 33613
(813) 971-6000
✔ PECOS✔ Accepts Medicare20 mi
Interventional Radiology
NPI 1184185720
17 DAVIS BLVD STE 308
Tampa, FL 33606
(813) 250-2529
✔ PECOS✔ Accepts Medicare23 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 10D2294665

Baycare Outpatient Imaging, LLC · Plant City, FL
Active · expires Nov 28, 2027
CLIA Number10D2294665
Laboratory TypeOp Imaging Center
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorRyan Telford
Laboratory Phone(813) 757-1229
Laboratory LocationBaycare Outpatient Imaging, LLC3198 N Park Rd - Ste 102, Plant City, FL 33563
CLIA data matches this NPI record on: Address Name
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 1376238642. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 3198 N. Park Road Suite 102, Plant City, FL 33563. The listed phone number is (813) 757-1204.

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, 17 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 10D2294665) is associated with this NPI, valid through November 28, 2027. 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, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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.