Organization Active NPI

Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
National Provider Identifier
1144270307
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COASTAL RADIOLOGY ASSOCIATES, PLLC
Doing business as
Coastal Radiology Associates PLLC
Practice address
722 Newman Rd
New Bern, NC 28562-5238
Phone
(888) 592-8646
Fax
(252) 633-0084
NPI assigned
May 10, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Sharlee Lebleu
Title
Vice President
Phone
(480) 321-7026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU

Addresses

Primary practice location

722 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 200077
Dallas, TX 75320-0077
Phone (833) 417-0599

Other identifiers 4

IdentifierTypeStateIssuer
02851OtherNCBCBS OF NC
8902851MedicaidNC
153000500OtherNCDOL
760158OtherNCMAMSI

Other names 1

  • Coastal Radiology Associates PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA, SC, OH, MT, IL, TX, CO, GA, MO, PA, FL, LA, OK, AZ, HI, MI, AL, NV, RI, KY, TN, NY, OR, WI, DC, VA, KS, MD, MA, WA, ID, DE, NJ, NH, UT, MS37 enrollments

Enrollment records 37

Enrollment IDStateProvider typePAC IDDetails
O20040823000112 NC Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 59 practitioners
O20120801000809 CA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 37 practitioners
Practice locations: Fresno, CA; Newport Beach, CA; Orinda, CA; Palm Desert, CA; Palm Springs, CA; Rancho Santa Fe, CA; Redwood City, CA; San Clemente, CA…
O20150513001736 SC Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 50 practitioners
Practice locations: Mount Pleasant, SC; Orangeburg, SC; Mt Pleasant, SC; Myrtle Beach, SC; Rock Hill, SC; Santee, SC; York, SC; Hilton Head Island, SC…
O20150529002412 OH Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 13 practitioners
Practice locations: Powell, OH; Avon Lake, OH; Worthington, OH; Westlake, OH; West Chester, OH; South Euclid, OH; Solon, OH; North Olmsted, OH…
O20171004001190 MT Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT
O20171006001707 IL Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 15 practitioners
Practice locations: Lincolnwood, IL; South Barrington, IL; Rockford, IL; Quincy, IL; Oak Brook, IL; Morton, IL; Hoffman Estates, IL; Highland Park, IL…
O20171009001423 TX Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 38 practitioners
Practice locations: San Antonio, TX; Lufkin, TX; Marble Falls, TX; Missouri City, TX; San Angelo, TX; Aledo, TX; Shenandoah, TX; Spicewood, TX…
O20171013001298 CO Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 16 practitioners
Practice locations: Boulder, CO; Palmer Lake, CO; Manitou Springs, CO; Littleton, CO; Highlands Ranch, CO; Greenwood Village, CO; Grand Junction, CO; Fort Collins, CO…
O20171030003199 GA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 20 practitioners
Practice locations: Suwanee, GA; Roswell, GA; Rome, GA; Peachtree City, GA; Newnan, GA; Milton, GA; Midland, GA; Lagrange, GA…
O20171114002373 MO Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20171120001087 PA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 10 practitioners
Practice locations: Wynnewood, PA; Upper Saint Clair, PA; Sewickley, PA; Pittsburgh, PA; Millersville, PA; Mars, PA; Hummelstown, PA; Haverford, PA…
O20180213002983 FL Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 40 practitioners
Practice locations: St Petersburg, FL; Miami Lakes, FL; Niceville, FL; Odessa, FL; Orlando, FL; Parkland, FL; Pompano Beach, FL; Sarasota, FL…
O20180803000627 LA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 3 practitioners
Practice locations: Amite, LA; Metairie, LA; New Orleans, LA
O20181116001310 OK Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Edmond, OK
O20200124000535 AZ Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ; Scottsdale, AZ; Phoenix, AZ; Paradise Valley, AZ; Chandler, AZ
O20200129002644 HI Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 6 practitioners
Practice locations: Captain Cook, HI; Waikoloa, HI; Lahaina, HI; Kaunakakai, HI; Honolulu, HI
O20200305001748 MI Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 5 practitioners
Practice locations: Bloomfield Hills, MI; Escanaba, MI; Howell, MI; Niles, MI; West Bloomfield, MI
O20200316000606 AL Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 3 practitioners
Practice locations: Birmingham, AL; Madison, AL; Orange Beach, AL
O20200602003005 NV Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; Henderson, NV
O20200611001129 RI Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI; Hope, RI
O20200629003541 KY Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 6 practitioners
Practice locations: Shelbyville, KY; Nicholasville, KY; Louisville, KY; Georgetown, KY
O20200720003666 TN Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 4 practitioners
Practice locations: Hendersonville, TN; Knoxville, TN; Nashville, TN
O20200810001266 NY Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 7 practitioners
Practice locations: White Plains, NY; Suffern, NY; Scarsdale, NY; Pittsford, NY; New York, NY; Glen Cove, NY; Albany, NY
O20201009000443 OR Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Bend, OR
O20210121002157 WI Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Washington Island, WI; Woodruff, WI; Appleton, WI
O20210325000228 DC Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 5 practitioners
Practice locations: Bethesda, MD; Bowie, MD; MC Lean, VA; Washington, DC
O20210526000516 VA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 7 practitioners
Practice locations: Winchester, VA; Virginia Beach, VA; Roanoke, VA; Moseley, VA; Glen Allen, VA; Chesapeake, VA
O20210907002028 KS Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Leawood, KS
O20211221000911 MD Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, MD
O20230404002004 MA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 3 practitioners
Practice locations: Hingham, MA; Newton, MA; Norwood, MA
O20230614000642 WA Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Olympia, WA; Walla Walla, WA; Gig Harbor, WA; East Wenatchee, WA
O20231129003162 ID Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20231204001377 DE Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20240219001297 NJ Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: East Orange, NJ; Livingston, NJ; Medford, NJ
O20240313002410 NH Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 2 practitioners
Practice locations: Amherst, NH; Lee, NH
O20240626004168 UT Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 3 practitioners
Practice locations: Heber City, UT; Spanish Fork, UT
O20250327000077 MS Part B Supplier - Clinic/Group Practice 8224002696 Receives reassigned benefits from 1 practitioner
Practice locations: Diberville, MS

National Provider Directory

National Provider Directory

Locations

1357 Kapiolani Blvd
Ste 830
Honolulu, HI 96814

1165 Cedar Point Blvd
Ste M
Cedar Point, NC 28584
Phone (252) 808-4440

101 N Walnut St
Fairmont, NC 28340
Phone (910) 628-0655

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

3252 Wellons Blvd
#B
New Bern, NC 28562
Phone (252) 637-5480

702 Newman Rd
New Bern, NC 28562
Phone (252) 633-5333

720 Newman Rd
New Bern, NC 28562

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

730 Newman Rd
New Bern, NC 28562
Phone (252) 634-9090

185 Bunch Ford Rd
Holly Hill, SC 29059
Phone (803) 496-1055

Practitioners & affiliated clinicians

Practitioners 351

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 351

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": "1720569600000",
    "number": "1144270307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200077",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200077",
            "telephone_number": "833-417-0599",
            "fax_number": "252-633-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "888-592-8646",
            "fax_number": "252-633-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RADIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-321-7026"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "02851",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902851",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "153000500",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "760158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Radiology Associates PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Radiology Associates PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.