DR. ROBERT W. LEVY M.D.
NPI 1396756474
Radiology - Diagnostic Radiology in Daytona Beach, FL

Q: What is Robert Levy's NPI number?

The NPI number for Robert Levy is 1396756474. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Robert Levy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Levy was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1673 MASON AVE, SUITE# 305, DAYTONA BEACH, FL 32117(386) 274-7118(386) 274-6173 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2025, Mar 31, 2025 (2 updates tracked since 2025).

On this page

About Dr. Robert W. Levy M.d. NPPES

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

DR. ROBERT W. LEVY M.D. (NPI 1396756474) is an individual diagnostic radiology provider in Daytona Beach, Florida, licensed in Florida (ME72167) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396756474

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. ROBERT W. LEVYCredential: M.D.

Location Address1673 MASON AVE, SUITE# 305Daytona Beach, FL 32117-5515

Mailing Address1673 Mason Ave, Suite# 305Daytona Beach, FL 32117-5515 · (386) 274-7118 · Fax (386) 274-6173

Phone(386) 274-7118

Fax(386) 274-6173

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 11, 2006

Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1396756474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME72167✔ Licensed in GA · 109338✔ Licensed in VA · 0101284576

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License ME 72167 (FL)

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME 72167 (FL)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License ME 72167 (FL)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License ME 72167 (FL)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME 72167 (FL)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License ME 72167 (FL)

1673 MASON AVE, Daytona Beach, FL 32117

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12300 Opitz BlvdWoodbridge, VA 22191-3311 · Phone (703) 523-1199 · Fax (703) 583-4923

Location 2743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-8420

Location 3400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (904) 819-5155

Other Identifiers 2

Medicaid255223000FL

Other41668FL · Blue Cross Blue Shield

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. Robert W. Levy 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 ID3072513530

PECOS Enrollment IDI20070105000419, I20210602001972, I20251031003428

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

Medicare enrollment records show Robert Levy reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Central Florida Outpatient Imaging LLC

Same address

Diagnostic Radiology

1673 MASON AVE, SUITE # 305
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
65 clinicians in this Medicare group

NPI 1245271675 (386) 274-7118

Radiology Imaging Associates, LLC

Same address

Diagnostic Radiology

1673 MASON AVE, SUITE 305
Daytona Beach, FL 32117

Reassigned Medicare billing, Florida enrollment
189 clinicians in this Medicare group

NPI 1063400729 (386) 274-7118

Villages Regional Hospital Physician Services LLC

47 mi

Urgent Care

110 HEALTH PARK BLVD
St Augustine, FL 32086

Reassigned Medicare billing, Florida enrollment
354 clinicians in this Medicare group

NPI 1083548861 (904) 823-3401

Ocala Health Imaging Services LLC

63 mi

Diagnostic Radiology

2300 SE 17TH ST, BLDG 800
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
103 clinicians in this Medicare group

NPI 1023318060 (352) 867-9606

Medical Imaging Center Of Ocala LLP

64 mi

Diagnostic Radiology

1490 SE MAGNOLIA EXT
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
93 clinicians in this Medicare group

NPI 1669469045 (352) 671-4300

Timberridge Imaging Center

74 mi

Diagnostic Radiology

9521 SW HIGHWAY 200
Ocala, FL 34481

Reassigned Medicare billing, Florida enrollment
93 clinicians in this Medicare group

NPI 1669460473 (352) 671-4300

Inverness Medical Imaging LLC

82 mi

Diagnostic Radiology

2105 STATE ROAD 44 W
Inverness, FL 34452

Reassigned Medicare billing, Florida enrollment
97 clinicians in this Medicare group

NPI 1093763591 (352) 419-4818

East Cooper Physician Group LLC

223 mi

Surgery

11 ROBERT SMALLS PKWY STE D
Beaufort, SC 29906

Reassigned Medicare billing, South Carolina enrollment
158 clinicians in this Medicare group

NPI 1275327850 (843) 352-4154

St. Francis Physician Practices LLC

324 mi

Gastroenterology

2300 MANCHESTER EXPY
Columbus, GA 31904

Reassigned Medicare billing, Florida enrollment
78 clinicians in this Medicare group

NPI 1609655646 (706) 320-2766

Northeast Georgia Physicians Group Inc

386 mi

Family Medicine

743 SPRING ST NE
Gainesville, GA 30501

Reassigned Medicare billing, Florida and Georgia enrollments
83 clinicians in this Medicare group

NPI 1891745212 (770) 219-9000

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

Areas of Expertise CMS Part B claims 45

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

5,085 services34 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

3,545 services50 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,861 services1,861 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,855 services1,855 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

531 services491 patients

Screening 3d breast mammography 77063

393 services393 patients

Screening mammography 77067

392 services392 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

389 services375 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

92 services89 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

92 services89 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

91 services91 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

75 services74 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

74 services73 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

71 services71 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

71 services70 patients

X-ray of chest, 2 views 71046

70 services69 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

66 services63 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

47 services47 patients

Ct scan head or brain without contrast 70450

45 services45 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

43 services43 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

41 services41 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

40 services40 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

40 services39 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

38 services38 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

38 services37 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

36 services36 patients

Ct scan of abdomen and pelvis without contrast 74176

33 services33 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

31 services30 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

27 services27 patients

Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast 0042T

A computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast is a non-invasive exam. It uses X-rays and a contrast material to create detailed images of your brain. It helps evaluate blood flow patterns and detect abnormalities like clots or blockages.

26 services26 patients

Mri scan of brain without contrast 70551

26 services26 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

25 services24 patients

Mri scan of brain before and after contrast 70553

24 services24 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

20 services20 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

17 services17 patients

X-ray of hip, 2-3 views 73502

17 services17 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

17 services17 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

15 services15 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

13 services13 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

13 services13 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

13 services13 patients

X-ray of lower and sacral spine, 2-3 views 72100

12 services12 patients

Ct scan of abdomen and pelvis with contrast 74177

11 services11 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

11 services11 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Halifax Health /Uf Health Medical Center Of Delton

Acute Care Hospitals · Deltona, FL

OwnershipGovernment - Local

CMS Certification Number100330

Location3300 Halifax Crossings BlvdDeltona, FL 32725 · Volusia County

Emergency services

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490113

Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. JOHN WILLIAM GIANINI MD

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

RADIOLOGY IMAGING ASSOCIATES, LLC

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

DR. SCOTT DAVID KLIOZE M.D.

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE # 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

DR. JOHN EDWARD AGLES M.D.

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE # 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

DR. DAVID B TURETSKY MD

Radiology (Vascular & Interventional Radiology)

1673 MASON AVE, SUITE # 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

DR. THOMAS J YUSCHOK M.D.

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE # 305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

BEVERLY JEAN CRAIGLE RN

Registered Nurse

1673 MASON AVE
DAYTONA BEACH, FL 32117

Volusia County (800) 614-4124

DR. TIMOTHY R JONES MD

Radiology (Diagnostic Radiology)

1673 MASON AVE, SUITE #305
DAYTONA BEACH, FL 32117

Volusia County (386) 274-7118

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 Robert Levy's NPI number?

The NPI number for Robert Levy is 1396756474. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Robert Levy located?

Robert Levy practices at 1673 Mason Ave Suite# 305, Daytona Beach, FL 32117. The listed phone number is (386) 274-7118.

What is Robert Levy's specialty?

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

Is Robert Levy enrolled in Medicare?

Yes. Robert Levy 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 Robert Levy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Levy reassigns Medicare benefits to 14 organizations: East Central Florida Outpatient Imaging LLC (Daytona Beach, FL), Radiology Imaging Associates, LLC (Daytona Beach, FL), Villages Regional Hospital Physician Services LLC (St Augustine, FL), Ocala Health Imaging Services LLC (Ocala, FL), Medical Imaging Center Of Ocala LLP (Ocala, FL) and 9 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 Robert Levy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Levy affiliated with any hospitals?

According to CMS data, Robert Levy is affiliated with Halifax Health Medical Center, Flagler Hospital, Halifax Health /Uf Health Medical Center Of Delton, Northeast Georgia Medical Center, Inc and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Levy was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.