NPIMap

Organization Active NPI

Radiology Associates of Iberia

  • Diagnostic Radiology Physician
  • New Iberia, LA
National Provider Identifier
1083661003
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF IBERIA
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 367-1048
Fax
(337) 367-0131
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Boyd D Snellgrove, MDNPI 1811942808
Title
Managing Member
Phone
(337) 367-1048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

600 Jefferson St Ste 404
Lafayette, LA 70501-6991
Phone (337) 367-1048

Other identifiers 1

IdentifierTypeStateIssuer
1794325MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL, TX, IA, WV, KS6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040513000964 LA Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, LA; New Iberia, LA
O20250120000046 FL Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 1 practitioner
Practice locations: Hallandale Beach, FL
O20250122001931 TX Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 1 practitioner
Practice locations: Leander, TX
O20250212000148 IA Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 1 practitioner
Practice locations: Le Mars, IA
O20250320001942 WV Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 1 practitioner
Practice locations: Barboursville, WV
O20250331002450 KS Part B Supplier - Clinic/Group Practice 3375533201 Receives reassigned benefits from 1 practitioner
Practice locations: Topeka, KS

National Provider Directory

National Provider Directory

Locations

1970 Highway 117
Unit B
Provencal, LA 71468

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1083661003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016991",
            "telephone_number": "337-367-1048",
            "fax_number": "337-367-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-367-1048",
            "fax_number": "337-367-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF IBERIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "SNELLGROVE",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-367-1048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1794325",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.