OrganizationActive
Diagnostic Imaging PA
NPI 1285870089 · Diagnostic Radiology Physician · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1285870089
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shahid Nasir, President(904) 629-6733
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1052 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-4015
Phone: (904) 551-0703
Fax: (904) 551-0709
Street-level locationGet directions
Mailing address
130 Corridor Rd Unit 428
Ponte Vedra Beach, FL 32004-7718
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.