Organization Active NPI

Adams Diagnostic Imaging, LLC

  • Body Imaging Physician
  • Gettysburg, PA
National Provider Identifier
1013081413
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
ADAMS DIAGNOSTIC IMAGING, LLC
Practice address
20 Expedition Trail
Suite 102
Gettysburg, PA 17325
Phone
(717) 337-5991
Fax
(717) 337-5995
NPI assigned
Nov 17, 2006
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Satish A Shah, M.D.
Title
Medical Director
Phone
(717) 337-5991

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU Primary
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

20 Expedition Trail
Suite 102
Gettysburg, PA 17325

Mailing address

20 Expedition Trail
Suite 102
Gettysburg, PA 17325
Phone (717) 337-5991

Other identifiers 1

IdentifierTypeStateIssuer
1019066640001MedicaidPA

National Provider Directory

National Provider Directory

Locations

20 Expedition Trl
Ste 102
Gettysburg, PA 17325
Phone (717) 334-4033

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1013081413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRAIL",
            "address_2": "SUITE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "717-337-5991",
            "fax_number": "717-337-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRAIL",
            "address_2": "SUITE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "717-337-5991",
            "fax_number": "717-337-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-337-5991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019066640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.