NPIMap

Organization Active NPI

Insight-Premier Health LLC

  • Diagnostic Radiology Physician
  • Skowhegan, ME
National Provider Identifier
1114977337
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INSIGHT-PREMIER HEALTH LLC
Practice address
46 Fairview Ave Ste 100
Skowhegan, ME 04976-1481
Phone
(800) 734-4132
Fax
(800) 883-6348
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Ramona L Ahern
Title
Special Assistant Secretary
Phone
(952) 738-4441

Specialties & licenses 1

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

Addresses

Primary practice location

46 Fairview Ave Ste 100
Skowhegan, ME 04976-1481

Mailing address

PO Box 414025
Boston, MA 02241-4025
Phone (866) 674-7933

Other identifiers 2

IdentifierTypeStateIssuer
470001124OtherMERAILROAD MEDICARE
133960000MedicaidME

Other names 1

  • RAYUS Radiology Skowhegan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000211 ME Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890681803 Practice locations: Skowhegan, ME

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1114977337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414025",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414025",
            "telephone_number": "866-674-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE STE 100",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "800-734-4132",
            "fax_number": "800-883-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT-PREMIER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-738-4441"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001124",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133960000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS Radiology Skowhegan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.