MRS. MAHOGANY JERVON AMBROSE M.D. NPI 1316300940

NPI Information

  • NPI: 1316300940
  • Provider Name: MRS. MAHOGANY JERVON AMBROSE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10920 MCKINLEY DR
    TAMPA, FL
    ZIP 33612
  • Phone: (813) 745-8535

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NPI Details

MRS. Mahogany Jervon Ambrose, M.D. is a diagnostic radiology radiology in Tampa, FL with 9 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MRS. Mahogany Jervon Ambrose, M.D. NPI is 1316300940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

10920 MCKINLEY DR
TAMPA, FL
ZIP 33612-471
Phone: (813) 745-8535
Fax: (813) 449-8398

The NPI 1316300940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of face without contrast (HCPCS:70486)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 3/31/2016 and was last updated on 1/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology3377VIRGIN ISLANDSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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