Mobile Physician Services Inc.
NPI 1003002759 · Internal Medicine Physician · New Port Richey, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003002759
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Radice, Medical Director(855) 232-0644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4031 Colonel Glenn Hwy Ste 133Beavercreek Township, OH 45431-2774Phone: (855) 232-0644Fax: (888) 546-0488
Registry dates
- Enumerated
- 2007-09-17
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.