Individual provider Active NPI

Allen O. Powell, M.D.

  • Diagnostic Radiology Physician
  • Bowling Green, KY
National Provider Identifier
1124091913
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30772 Issued in KY
Practice address
250 Park St
Bowling Green, KY 42101-1760
Phone
(270) 745-1200
Fax
(270) 843-5020
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30772 KY Primary

Addresses

Primary practice location

250 Park St
Bowling Green, KY 42101-1760

Mailing address

PO Box 3179
Indianapolis, IN 46206-3179
Phone (855) 381-8191

Other identifiers 1

IdentifierTypeStateIssuer
64307721MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040501000437 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4284622085 Reassigns benefits to 2 organizations
I20110510000525 FL Practitioner - Diagnostic RadiologyPractitioner - Other (Physician)Practitioner - Interventional Radiology 4284622085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Duke University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians
Viera Diagnostic Center LLCGroup PAC ID 1153304126, 2 clinicians

Practice addresses (Care Compare)

250 Park St
FL 6
Bowling Green, KY 42101-1760
Phone (270) 796-6200

7000 Spyglass CT
Suite 260
Viera, FL 32940-8291
Phone (321) 254-7880

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324
  • The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318
  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score
87 of 100Reported as group
Quality
74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.64 of 100Reported as group
Quality
33.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30772KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Viera Diagnostic Center LLC CurrentSince Jun 13, 2003 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jan 30, 2025 Accepting new patients
Springfield Radiology Associates, PC Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Diagnostic Radiology CurrentSince Jan 30, 2025 Accepting new patients
Treasure Coast Medical Services, Inc. Past Accepting new patients

Locations

6609 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 254-7880

7000 Spyglass Ct
Ste 260
Viera, FL 32940
Phone (321) 254-7880

825 2nd Ave
Bowling Green, KY 42101
Phone (270) 780-2650

1635 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-9500

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

250 Park St
Fl 6
Bowling Green, KY 42101
Phone (270) 796-6200

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

825 2nd Ave
Ste C2
Bowling Green, KY 42101
Phone (270) 780-2750

1020 S Main St
Franklin, KY 42134
Phone (270) 586-8947

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

456 Burnley Rd
Scottsville, KY 42164
Phone (270) 622-2800

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1124091913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3179",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063179",
            "telephone_number": "855-381-8191",
            "fax_number": "855-286-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011760",
            "telephone_number": "270-745-1200",
            "fax_number": "270-843-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALLEN",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "30772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64307721",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.