NPIMap

Individual provider Active NPI

Glen Alan Toomayan, MD

  • Diagnostic Radiology Physician
  • Pinehurst, NC
National Provider Identifier
1144492372
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200500271 Issued in NC
Practice address
30 Memorial Drive
Pinehurst Radiology
Pinehurst, NC 28374
Phone
(910) 295-4400
NPI assigned
Mar 27, 2008
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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 200500271 NC Primary

Addresses

Primary practice location

30 Memorial Drive
Pinehurst Radiology
Pinehurst, NC 28374

Mailing address

39 Lasswade Dr
Pinehurst, NC 28374-6703
Phone (910) 420-2932

Other identifiers 2

IdentifierTypeStateIssuer
2073382AOtherNCMEDICARE
2073382BOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000202 NC Practitioner - Diagnostic Radiology 1052461019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Radiology Group P aGroup PAC ID 3678547536, 20 clinicians
First Imaging of the CarolinasGroup PAC ID 7315973948, 10 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000

30 Memorial Dr
Pinehurst, NC 28374-8707
Phone (910) 295-4400

355 S Bennett St
Southern Pines, NC 28387-5403
Phone (910) 295-4400

39 Lasswade Dr
Pinehurst, NC 28374-6703
Phone (910) 420-2932

46 Memorial Dr
Pinehurst, NC 28374-8707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00271NCMDOrthodontics and Dentofacial Orthopedic Dentist
200500271NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-27, LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
First Imaging of the Carolinas Diagnostic Radiology CurrentSince Nov 13, 2011 Accepting new patients
MCPC-19, LLC Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients
Pinehurst Radiology Group P a CurrentSince Jun 22, 2010 Accepting new patients
MCPC-19, LLC Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients

Locations

30 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-1831

Organizations & group practices 6

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

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1144492372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LASSWADE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283746703",
            "telephone_number": "910-420-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEMORIAL DRIVE",
            "address_2": "PINEHURST RADIOLOGY",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMAYAN",
        "first_name": "GLEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200500271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2073382A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2073382B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.