Derek Kurt Urban, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

50461 Issued in TN

Practice address

2200 Bergquist Dr
Suite 1
Lackland a F B, TX 78236-9908

Phone

(210) 292-6707

NPI assigned

Jan 5, 2006

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, WV, TN, FL, OH, AR, IL, GA, NC, SC, VA, OK, PA, WI14 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 14

Specialty

Diagnostic Radiology

Education

Ohio State University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ArcareGroup PAC ID 2567370620, 249 clinicians

Dynamic Medical SolutionsGroup PAC ID 5395996284, 4 clinicians

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 33)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Medical Solutions

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1922356310

  MO

  Medicare reassignment Care Compare group NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853

  TN

  Medicare reassignment Care Compare group NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment Care Compare group
• Parkersburg Radiology Services, Inc.

  • Diagnostic Radiology Physician
  • Parkersburg, WV
  • NPI 1669478111
  Medicare reassignment NPD
• Suntree Internal Medicine, LLC.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1700947884
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295

  TN

  Medicare reassignment NPD
• Rapid Radiology, Inc.

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1619300431
  NPD
• Arcare

  dba ARcare49

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, AR
  • NPI 1033773932
  NPD
• Arcare

  dba ARcare97

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Bakorp LLC

  dba Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tempe, AZ
  • NPI 1629188842
  NPD
• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Saint Louis, MO
  • NPI 1437108842
  NPD
• BTX Koi Inc

  dba Biotech X-Ray

  • Physiological Laboratory
  • Cincinnati, OH
  • NPI 1245696731
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1033197454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "SUITE 1",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "DEREK",
        "middle_name": "KURT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "50461",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "OH",
            "license": "068200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Travis, MD
• George Allen Tripp, M.D.
• Natasha Tsandoula
• Michael Thomas Tshudy, MD
• Finianne Jimenez Umali-Corry, DO, MPH
• Eduardo Luis Urias
• US Army
• US Army
• Usaf
• Bernadette Ann Vanness, IDMT

• Diagnostic Radiology Physician in Lackland AFB, TX
• Providers in Lackland AFB, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.