Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RADIOLOGY REGIONAL CENTER P A
NPI 1407809262
Radiology - Diagnostic Radiology in Fort Myers, FL

Q: What is Radiology Regional Center P A's NPI number?

The NPI number for Radiology Regional Center P A is 1407809262. It was assigned to this organization in the NPPES registry on May 19, 2006.

Q: What is Radiology Regional Center P A's specialty?

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

Active since May 19, 2006

14551 HOPE CENTER LOOP, FORT MYERS, FL 33912(239) 936-2316(239) 936-3099 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Mar 11, 2025, Jan 3, 2024 and 5 more (8 updates tracked since 2016).

On this page

About Radiology Regional Center P A NPPES

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

RADIOLOGY REGIONAL CENTER P A (NPI 1407809262) is a healthcare organization registered as a diagnostic radiology in Fort Myers, Florida and active in the NPI registry since May 2006. The organization maintains 12 additional practice locations and lists Tracy Prince, Director, as its authorized official.

NPPES Registry Identity

NPI1407809262

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameRADIOLOGY REGIONAL CENTER P A

Location Address14551 HOPE CENTER LOOPFort Myers, FL 33912-4704

Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 936-2316 · Fax (239) 834-6106

Phone(239) 936-2316

Fax(239) 936-3099

Organization SubpartNo

Authorized OfficialTracy PrinceDirector · (480) 594-3884

Enumeration DateMay 19, 2006

Last NPPES UpdateOctober 5, 20268 updates tracked since enumeration

NPPES CertifiedOctober 5, 2026

✔ NPI 1407809262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X

14551 HOPE CENTER LOOP, Fort Myers, FL 33912

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Secondary Practice Locations 12

Location 12301 Del Prado Blvd S Ste 420Cape Coral, FL 33990-4698 · Phone (239) 936-2316

Location 26140 Winkler RdFort Myers, FL 33919-8188 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 31110 Lee BlvdLehigh Acres, FL 33936-4844 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 46100 Winkler RdFort Myers, FL 33919-8126 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 51708 Cape Coral Pkwy W Ste 3Cape Coral, FL 33914-6985 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 61875 Veterans Park Dr Ste 2101Naples, FL 34109-0596 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 76600 University Pkwy Ste 102Sarasota, FL 34240-9040 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 818300 Murdock Cir Unit 101Port Charlotte, FL 33948-1116 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 910201 Arcos Ave Ste 101Estero, FL 33928-9460 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 10700 Goodlette RdNaples, FL 34102-5644 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 11805 Del Prado Blvd SCape Coral, FL 33990-2666 · Phone (239) 936-2316 · Fax (239) 936-3099

Location 129776 Bonita Beach Rd SE Ste 101ABonita Springs, FL 34135-4773 · Phone (239) 936-2316 · Fax (239) 936-3099

Other Identifiers 1

Medicaid054636401FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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)

Radiology Regional Center P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

100

Medicare enrollment records show 100 clinicians reassign Medicare billing to Radiology Regional Center P A, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology87

Cardiovascular Disease (Cardiology)5

Nuclear Medicine3

Interventional Cardiology2

Cardiac Electrophysiology1

Internal Medicine1

Interventional Radiology1

Nearest to this location (20)

See all 100

Stuart Bobman, MD

Diagnostic Radiology

NPI 1003853250

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Thomas Elkins, D.O.

Diagnostic Radiology

NPI 1033552880

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-4068

✔ PECOS✔ Accepts MedicareSame address

Stephen Ferrante, MD

Diagnostic Radiology

NPI 1841868163

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOSSame address

Yamil Fourzali Sabbag, M.D.

Diagnostic Radiology

NPI 1881876936

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Grygori Gerasymchuk, M.D.

Diagnostic Radiology

NPI 1598974933

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Glenn Groat, M.D.

Diagnostic Radiology

NPI 1538363080

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Jason Hamilton, M.D.

Diagnostic Radiology

NPI 1437141926

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Theresa Hilley Vensel, M.D.

Diagnostic Radiology

NPI 1881608966

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Laura Isley, M.D.

Diagnostic Radiology

NPI 1629264312

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Nicholas Lariccia, M.D.

Diagnostic Radiology

NPI 1073048484

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Lawrence Leigh, MD

Diagnostic Radiology

NPI 1740228543

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Stephen Muehlenbein, MD

Diagnostic Radiology

NPI 1417941980

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Richard Pagliara, DO

Diagnostic Radiology

NPI 1194994509

14551 HOPE CENTER LOOP
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Jose Rodriguez, M.D.

Diagnostic Radiology

NPI 1770977647

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Maximo Santiago, M.D.

Diagnostic Radiology

NPI 1760718845

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Robert Stanfill, M.D.

Diagnostic Radiology

NPI 1962606228

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Margaret Taha, MD

Diagnostic Radiology

NPI 1477508851

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Michael Theobald, M.D.

Diagnostic Radiology

NPI 1952393464

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Eric Vensel, M.D.

Diagnostic Radiology

NPI 1104857986

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts MedicareSame address

Mahogany Ambrose, M.D.

Diagnostic Radiology

NPI 1316300940

14551 HOPE CENTER LOOP STE 100
Fort Myers, FL 33912

(239) 936-2316

✔ PECOS✔ Accepts Medicare0.2 mi

See all 100 clinicians

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 Radiology Regional Center P A's NPI number?

The NPI number for Radiology Regional Center P A is 1407809262. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Radiology Regional Center P A located?

Radiology Regional Center P A is located at 14551 Hope Center Loop, Fort Myers, FL 33912. The listed phone number is (239) 936-2316.

What is Radiology Regional Center P A's specialty?

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

Is Radiology Regional Center P A enrolled in Medicare?

Yes. Radiology Regional Center P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiology Regional Center P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 100 clinicians in 7 Medicare specialties reassign their Medicare billing to Radiology Regional Center P A. 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 (87), Cardiovascular Disease (Cardiology) (5) and Nuclear Medicine (3). Of these, 19 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radiology Regional Center P A accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 6 other insurers list Radiology Regional Center P A 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 Radiology Regional Center P A was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.