Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathia Ruby Fantauzzi Nieves, MD

Individual provider Diagnostic Radiology Physician · NPI 1972065720

Dr. Kathia Ruby Fantauzzi Nieves, MD is a Diagnostic Radiology in Tampa, Florida. Qualified in 2019, 7 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone: (813) 929-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2201 Hempstead Tpke, East Meadow, NY 11554-1859 — (516) 296-6785
  • 601 Elmwood Ave Box 648, Rochester, NY 14642-0001 — (585) 273-5476

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME173563 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972065720
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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