Radiology Regional Center Professional Services LLC
NPI 1619365772 · Diagnostic Radiology Physician · Fort Myers, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiology Regional Center Professional Services LLC is a Diagnostic Radiology Physician organization in Fort Myers, FL (NPI 1619365772).
Provider details
- NPI number
- 1619365772
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Krivisky, President(239) 931-6376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2014-12-24
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Frequently asked questions
- What is Radiology Regional Center Professional Services LLC's NPI number?
- Radiology Regional Center Professional Services LLC's National Provider Identifier (NPI) is 1619365772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiology Regional Center Professional Services LLC?
- Radiology Regional Center Professional Services LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Radiology Regional Center Professional Services LLC located?
- Radiology Regional Center Professional Services LLC's practice location on file with NPPES is 13681 Doctors Way, Fort Myers, FL 33912-4300.
- What is Radiology Regional Center Professional Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Radiology Regional Center Professional Services LLC is (239) 343-1000.
- Does Radiology Regional Center Professional Services LLC accept Medicare?
- Radiology Regional Center Professional Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radiology Regional Center Professional Services LLC?
- The authorized official listed on Radiology Regional Center Professional Services LLC's NPPES record is Brian Krivisky, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiology Regional Center Professional Services LLC's NPI active?
- Yes — Radiology Regional Center Professional Services LLC's NPI (1619365772) is active in the NPPES registry as of the last update on 2020-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.