BAYCARE OUTPATIENT IMAGING LLC
NPI 1629853015
Radiology - Diagnostic Radiology in Winter Haven, FL

Active since August 25, 2023CLIA 10D2298249 · Waiver
635 1ST ST N, WINTER HAVEN, FL 33881(813) 259-1900 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2024, Aug 25, 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 1629853015) is a healthcare organization registered as a diagnostic radiology in Winter Haven, Florida and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629853015
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address635 1ST ST NWinter Haven, FL 33881-4129
Mailing Address2995 Drew Street, 2nd FloorClearwater, FL 33759 · (727) 315-6974 · Fax (813) 635-2613
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateAugust 25, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1629853015 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.
635 1ST ST N, Winter Haven, FL 33881

Other Identifiers 1

Medicaid101818504FL

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, 2 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 1124217021
529 E CENTRAL AVE
Winter Haven, FL 33880
(863) 299-1155
✔ PECOS0.5 mi
Diagnostic Radiology
NPI 1942208228
306 AVENUE C NE
Winter Haven, FL 33881
(863) 293-1071
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1447439575
2115 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1285923292
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1801185897
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1679956817
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1457342727
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1326208034
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1720079270
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1811191661
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1508286329
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1275092223
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1740271121
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1427039619
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS14 mi
Diagnostic Radiology
NPI 1538150933
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1437140951
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1407894587
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1831180124
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1477534527
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare14 mi
Interventional Radiology
NPI 1104315316
1417 LAKELAND HILLS BLVD STE 102
Lakeland, FL 33805
(863) 577-0316
✔ PECOS14 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 10D2298249

Baycare Outpatient Imaging, LLC · Winter Haven, FL
Active · expires Jan 30, 2028
CLIA Number10D2298249
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorGary Chappel
Laboratory Phone(863) 298-3388
Laboratory LocationBaycare Outpatient Imaging, LLC635 1st St North - Ste 101, Winter Haven, FL 33881
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 1629853015. It was assigned to this organization in the NPPES registry on August 25, 2023.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 635 1st St N, Winter Haven, FL 33881. 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, 2 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 10D2298249) is associated with this NPI, valid through January 30, 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, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare 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.