Individual provider Active NPI

Connor Cornelis Gemmell Byrne, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1134680499
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A176828 Issued in CA
Practice address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone
(510) 683-9500
Fax
(877) 880-2039
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025-03658 NC
Neuroradiology Physician 2085N0700X 176828 CA
Diagnostic Radiology Physician 2085R0202X A176828 CA Primary
Diagnostic Radiology Physician 2085R0202X 036.178492 IL

Addresses

Primary practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (510) 683-9500

Other practice location 1

4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone (916) 734-5732

Other names 1

  • Connor Cornelius Gemmell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250916004318 CA Practitioner - Diagnostic Radiology 1254835952 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

1707 35TH St
Unit a
Sacramento, CA 95816-6605
Phone (614) 293-8315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176828CAMDNeuroradiology Physician
A176828CAMDDiagnostic Radiology Physician
036.178492ILMDDiagnostic Radiology Physician
2025-03658NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Current Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Oct 17, 2025 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Jan 16, 2026 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Oct 17, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 2, 2025 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Stephen W. Brown and Radiology Associates of Augusta LLP Neuroradiology PastSince Feb 21, 2016 Accepting new patients

Locations

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

1870 Silver Cross Blvd
Ste 150
New Lenox, IL 60451
Phone (815) 300-1063

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1134680499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4860 Y St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172307",
            "country_code": "US",
            "telephone_number": "916-734-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "CONNOR",
        "middle_name": "CORNELIS GEMMELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-03658",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "176828",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A176828",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.178492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNOR",
            "last_name": "GEMMELL",
            "middle_name": "CORNELIUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.