NPIMap

Organization Active NPI

North Star MCD LLC

Doing business as North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
National Provider Identifier
1063712461
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NORTH STAR MCD LLC
Doing business as
North Star Diagnostic Imaging
Practice address
3465 National Drive, Suite 110
Plano, TX 75025
Phone
(972) 649-6460
NPI assigned
Nov 1, 2010
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Kevin Saskiw
Title
Co-Ceo
Phone
(972) 649-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

3465 National Drive, Suite 110
Plano, TX 75025

Mailing address

7600 Windrose Ave Ste G325
Plano, TX 75024-0167
Phone (972) 649-6460

Other names 1

  • NORTH STAR DIAGNOSTIC IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, GA, NJ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20110602000702 TX Part B Supplier - Clinic/Group Practice 2668659434 Receives reassigned benefits from 203 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20220209002627 OK Part B Supplier - Clinic/Group Practice 2668659434 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Choctaw, OK; Oklahoma City, OK; Norman, OK; Nichols Hills, OK; Edmond, OK; Duncan, OK
O20220426001558 GA Part B Supplier - Clinic/Group Practice 2668659434 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Canton, GA; Atlanta, GA
O20241016000709 NJ Part B Supplier - Clinic/Group Practice 2668659434 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin Lakes, NJ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

12230 Coit Rd
Dallas, TX 75251
Phone (214) 252-7020

209 N Bonnie Brae St
Bldg 3
Denton, TX 76201
Phone (972) 539-0086

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1063712461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 WINDROSE AVE STE G325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240167",
            "telephone_number": "972-649-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DRIVE, SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "972-649-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MCD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SASKIW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "972-649-6460"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH STAR DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.