| Dr Arif Salah Kidwai, MD | |
|
283 Deer Valley Dr, Ponte Vedra, FL 32081-8358 | |
| (904) 686-9713 | |
| Not Available |
| Full Name | Dr Arif Salah Kidwai |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 283 Deer Valley Dr, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588632111 | NPI | - | NPPES |
| 269673800 | Medicaid | FL | |
| 760962350A | Medicaid | GA | |
| P00128609 | Other | FL | RAILROAD MEDICARE |
| P00848653 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME90133 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| St Francis-downtown | Greenville, SC | Hospital |
| Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
| Plateau Medical Center | Oak hill, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of South Carolina Llc | 3779932959 | 82 |
| West Virginia Radiology Associates Pc | 9133666431 | 71 |
| Radiology Associates Of South Carolina Llc | 3779932959 | 82 |
| Entity Name | St Johns Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295897734 PECOS PAC ID: 2365490711 Enrollment ID: O20050112000313 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20120320000846 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181120002282 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20181206003284 |
| Entity Name | Radiology Associates Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20240104004758 |
| Entity Name | West Virginia Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093550915 PECOS PAC ID: 9133666431 Enrollment ID: O20241119000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Arif Salah Kidwai, MD 283 Deer Valley Dr, Ponte Vedra, FL 32081-8358 Ph: () - | Dr Arif Salah Kidwai, MD 283 Deer Valley Dr, Ponte Vedra, FL 32081-8358 Ph: (904) 686-9713 |