GUSTAVO PANTOL
NPI 1942594908
Radiology - Diagnostic Radiology in Miami, FL

Q: What is Gustavo Pantol's NPI number?

The NPI number for Gustavo Pantol is 1942594908. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Gustavo Pantol'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 Gustavo Pantol was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment

1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-5512(305) 243-4613 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Gustavo Pantol NPPES

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

GUSTAVO PANTOL (NPI 1942594908) is an individual diagnostic radiology provider in Miami, Florida, licensed in Florida (ME112370) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1942594908

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGUSTAVO PANTOL

Location Address1475 NW 12TH AVEMiami, FL 33136-1002

Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-5512 · Fax (305) 243-4613

Phone(305) 243-5512

Fax(305) 243-4613

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 7, 2011

Last NPPES UpdateJuly 1, 2019

✔ NPI 1942594908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in FL · ME112370✔ Licensed in MA · 248606

Definition

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

1475 NW 12TH AVE, Miami, FL 33136

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health and more.Insurance ›

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

Gustavo Pantol 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 ID4688821721

PECOS Enrollment IDI20120824000680

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 Gustavo Pantol reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami

Same address

Radiation Oncology

1475 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1689624108 (305) 243-7688

Intellirad Imaging, LLC

3.2 mi

Diagnostic Radiology

3663 S MIAMI AVE
Miami, FL 33133

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

NPI 1073859484 (305) 854-4400

Baptist Outpatient Services Inc

11 mi

Diagnostic Radiology

8950 N KENDALL DR
Miami, FL 33176

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

NPI 1437127529 (786) 596-7200

Qmg, LLC

16 mi

Internal Medicine

210 S FEDERAL HIGHWAY, SUITE 401
Hollywood, FL 33020

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

NPI 1790079309 (954) 598-9900

Radiology Consultants Of Hollywood Inc

16 mi

Radiology

210 S FEDERAL HWY FL 2
Hollywood, FL 33020

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

NPI 1568565430 (954) 927-1776

Radiology Associates Of South Florida LLC

991 mi

Diagnostic Radiology

920 JUDSON RD
Longview, TX 75601

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

NPI 1699759183 (305) 363-3286

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 59

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.

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.

5,288 services74 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.

1,211 services1,046 patients

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579

This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.

923 services54 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.

403 services324 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.

386 services372 patients

Mri scan of brain without contrast 70551

205 services203 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.

197 services195 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.

110 services109 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.

109 services108 patients

Ct scan head or brain without contrast 70450

103 services99 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.

99 services98 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.

95 services95 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

92 services91 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

92 services92 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.

89 services89 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.

81 services80 patients

Ct scan of chest without contrast 71250

76 services73 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.

71 services70 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.

71 services70 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.

70 services68 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

60 services60 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.

57 services57 patients

Mri scan of brain before and after contrast 70553

55 services54 patients

Ct scan of abdomen and pelvis without contrast 74176

54 services54 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.

53 services51 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

51 services51 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.

44 services42 patients

Ultrasound of both sides of head and neck blood flow 93880

43 services43 patients

Mri scan of lower spinal canal without contrast 72148

42 services42 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

39 services38 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.

37 services36 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.

33 services33 patients

Ct scan of face without contrast 70486

31 services28 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

31 services31 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.

30 services30 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

26 services26 patients

Mri scan of blood vessels of head without contrast 70544

25 services24 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.

23 services23 patients

Mri scan of upper spinal canal without contrast 72141

23 services23 patients

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

22 services22 patients

Ct scan of abdomen and pelvis with contrast 74177

19 services19 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

19 services19 patients

Limited ultrasound scan of abdomen 76705

18 services18 patients

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

18 services18 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

17 services17 patients

Ultrasound scan of scrotum 76870

An ultrasound scan of the scrotum is a non-invasive imaging test. It uses sound waves to create pictures of the structures within the lower abdominal area. This helps to assess any discomfort or abnormalities you might be experiencing. The procedure is safe and painless.

17 services16 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

17 services17 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

15 services15 patients

Complete ultrasound scan behind abdominal cavity 76770

15 services15 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

14 services14 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

14 services14 patients

Mri scan of blood vessels of neck without contrast 70547

An MRI scan of the neck's blood vessels without contrast is a non-invasive procedure that uses magnetic fields to create detailed images of your neck's blood vessels. It helps identify any abnormalities or blockages, aiding in accurate diagnosis and treatment planning.

13 services13 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

13 services13 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

12 services12 patients

Mri scan of blood vessels of neck without contrast 70547

12 services12 patients

Ct scan of blood vessels of neck with contrast 70498

11 services11 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

11 services11 patients

Ct scan of lower spine without contrast 72131

11 services11 patients

Nuclear medicine study of lung ventilation and circulation 78582

A nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.

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.

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100231

Location8383 N Davis HwyPensacola, FL 32514 · Escambia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

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.

MS. ALISSETTE NAVEDA ARNP

Nurse Practitioner (Family)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5360

WALTER G BRADLEY

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136

Miami-Dade County (305) 243-7520

DR. EVAN H SCHLAM MD

Dermatology

1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136

Miami-Dade County (305) 243-7688

DR. NESTOR RICARDO VILLAMIZAR M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-2363

MS. LINDSAY MARIE THORNTON MD

Radiology (Vascular & Interventional Radiology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5512

DR. GLENDA C HARRIS PH.D., L.AC.

Acupuncturist

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-1470

IVAYLO MIHAYLOV

Radiology (Radiation Oncology)

1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136

Miami-Dade County (305) 243-8223

LOURDES MESTRE VALDES APRN

Nurse Practitioner (Gerontology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-4902

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 Gustavo Pantol's NPI number?

The NPI number for Gustavo Pantol is 1942594908. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Gustavo Pantol located?

Gustavo Pantol practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-5512.

What is Gustavo Pantol's specialty?

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

Is Gustavo Pantol enrolled in Medicare?

Yes. Gustavo Pantol 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 Gustavo Pantol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Pantol reassigns Medicare benefits to 6 organizations: University Of Miami (Miami, FL), Intellirad Imaging, LLC (Miami, FL), Baptist Outpatient Services Inc (Miami, FL), Qmg, LLC (Hollywood, FL), Radiology Consultants Of Hollywood Inc (Hollywood, FL) and 1 more organization, 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 Gustavo Pantol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustavo Pantol accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Gustavo Pantol 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.

Is Gustavo Pantol affiliated with any hospitals?

According to CMS data, Gustavo Pantol is affiliated with Hca Florida Aventura Hospital, Hca Florida Mercy Hospital, Hca Florida Kendall Hospital, Westside Regional Medical Center and Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Pantol was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.