BOUTIQUE BREAST IMAGING, LLC
NPI 1952180887
Radiology - Diagnostic Radiology in Jacksonville, FL
About Boutique Breast Imaging, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOUTIQUE BREAST IMAGING, LLC (NPI 1952180887) is a healthcare organization registered as a diagnostic radiology in Jacksonville, Florida and active in the NPI registry since September 2023. The organization lists Kathryn Pearson Peyton, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boutique Breast Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Boutique Breast Imaging, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Boutique Breast Imaging, LLC's NPI number?
The NPI number for Boutique Breast Imaging, LLC is 1952180887. It was assigned to this organization in the NPPES registry on September 28, 2023.
Where is Boutique Breast Imaging, LLC located?
Boutique Breast Imaging, LLC is located at 6871 Belfort Oaks Pl, Jacksonville, FL 32216. The listed phone number is (904) 553-8806.
What is Boutique Breast Imaging, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Boutique Breast Imaging, LLC enrolled in Medicare?
Yes. Boutique Breast Imaging, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boutique Breast Imaging, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Boutique Breast 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boutique Breast Imaging, LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Boutique Breast Imaging, Llc · NPI 1952180887
Diagnostic Radiology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since September 28, 2023.
## Identity
- **NPI:** 1952180887 (Entity type: Organization)
- **Enumerated:** September 28, 2023
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Kathryn Peyton, MANAGER
## Practice location
- **Address:** 6871 BELFORT OAKS PL, Jacksonville, FL 32216-6242
- **Phone:** (904) 553-8806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1952180887) · Data from the CMS NPPES public registry.