BAPTIST MD ANDERSON CANCER PHYSICIANS
NPI 1710664206
Radiology - Radiation Oncology in Fleming Island, FL

NPI Status: Active since June 28, 2023

Contact Information

2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 202-7300
Fax: (904) 202-2754

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  • Organization
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • CLIA Number: 10D2282176
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-16-2027

About BAPTIST MD ANDERSON CANCER PHYSICIANS

This page provides the complete NPI Profile along with additional information for Baptist Md Anderson Cancer Physicians, a provider established in Fleming Island, Florida operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1710664206 assigned on June 2023. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated one year ago. Baptist Md Anderson Cancer Physicians operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leeann Mengel (Vice President)

NPI
1710664206
Provider Name
BAPTIST MD ANDERSON CANCER PHYSICIANS
Entity Type
Organization
Location Address
2310 VILLAGE SQUARE PKWY STE 106C FLEMING ISLAND, FL 32003
Location Phone
(904) 202-7300
Location Fax
(904) 202-2754
Mailing Address
PO BOX 746654 ATLANTA, GA 30374
Mailing Phone
(904) 202-2092
Mailing Fax
(904) 202-2754
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2023
Last Update Date
04-28-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
2207RI0008XAllopathic & Osteopathic Physicians

Internal Medicine
Hepatology

 
3207RX0202XAllopathic & Osteopathic Physicians

Internal Medicine
Medical Oncology

 
4207VX0201XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecologic Oncology

 
5207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
6207YX0007XAllopathic & Osteopathic Physicians

Otolaryngology
Plastic Surgery within the Head & Neck

 
72084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
8208600000XAllopathic & Osteopathic Physicians

Surgery

 
92086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEEANN MENGEL

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(904) 202-7300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2282176
Facility Type
Physician Office
Certificate Effective Date
May 17, 2025
Certificate Expiration Date
May 16, 2027
Laboratory Director
KIMBERLY LABREE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Baptist Md Anderson Cancer Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710664206, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 2 + 6 + 8 + 2 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1710664206.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003
Internal Medicine (Hematology & Oncology)
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003
Radiology (Radiation Oncology)
2310 VILLAGE SQUARE PKWY STE 106C
FLEMING ISLAND, FL 32003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710664206, enumerated as an "organization" on June 28, 2023.

The provider is located at 2310 VILLAGE SQUARE PKWY STE 106C FLEMING ISLAND, FL 32003 and the phone number is (904) 202-7300.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.