NPIMap

Organization Active NPI

High Desert Imaging LLC

Doing business as High Desert Imaging

  • Radiology Clinic/Center
  • Elko, NV
National Provider Identifier
1134589716
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HIGH DESERT IMAGING LLC
Doing business as
High Desert Imaging
Practice address
2110 Idaho St
Elko, NV 89801-2625
Phone
(775) 621-5800
NPI assigned
Feb 25, 2016
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Ryan Redelman, MDNPI 1891953816
Title
President, Owner
Phone
(775) 445-5500

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
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2110 Idaho St
Elko, NV 89801-2625

Mailing address

PO Box 1625
Evansville, IN 47706-0027
Phone (775) 621-5800

Other names 1

  • High Desert Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160504002551 NV Part B Supplier - Clinic/Group Practice 2769781244 Receives reassigned benefits from 17 practitioners
Practice locations: Elko, NV

National Provider Directory

National Provider Directory

Locations

2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1134589716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060027",
            "telephone_number": "775-621-5800",
            "fax_number": "775-621-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012625",
            "telephone_number": "775-621-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "REDELMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "775-445-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.