OrganizationActive
Radiology Regional Center, PA
NPI 1295401016 · Diagnostic Radiology Physician · Lehigh Acres, FL
Provider details
- NPI number
- 1295401016
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Krivisky, Ceo(239) 936-2316
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5220 Lee Blvd
Lehigh Acres, FL 33971-1036
Phone: (239) 369-8950
Fax: (239) 369-8760
Street-level locationGet directions
Mailing address
3660 Broadway
Fort Myers, FL 33901-8005
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2021-08-20
- Certified
- 2021-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.