Active NPI
Alfa Radiology Management Inc
- Diagnostic Ultrasound Physician
- Plano, TX
National Provider Identifier
1144650300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- ALFA RADIOLOGY MANAGEMENT INC
- Practice address
- 3401 Custer Rd
Suite 148
Plano, TX 75023-7599 - Phone
- (972) 905-5214
- Fax
- (214) 299-9329
- NPI assigned
- Nov 25, 2013
- Last updated
- Sep 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anatoliy Lypman
- Title
- Owner
- Phone
- (469) 877-4846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | TX | Primary |
Addresses
Primary practice location
3401 Custer Rd
Suite 148
Plano, TX 75023-7599
Mailing address
3401 Custer Rd
Suite 148
Plano, TX 75023-7599
Phone (972) 905-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170714000408 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3678843299 | Practice locations: Plano, TX |
National Provider Directory
National Provider DirectoryLocations
2101 Shannon Oxmoor Rd
Ste 92
Shannon, AL 35142
3401 Custer Rd
Ste 148
Plano, TX 75023
Phone (469) 877-4846
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Arlington Heights, IL
- NPI 1104895838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1144650300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CUSTER RD",
"address_2": "SUITE 148",
"city": "PLANO",
"state": "TX",
"postal_code": "750237599",
"telephone_number": "972-905-5214",
"fax_number": "214-299-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CUSTER RD",
"address_2": "SUITE 148",
"city": "PLANO",
"state": "TX",
"postal_code": "750237599",
"telephone_number": "972-905-5214",
"fax_number": "214-299-9329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFA RADIOLOGY MANAGEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-25",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "LYPMAN",
"authorized_official_first_name": "ANATOLIY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-877-4846",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Sherry Catherine Alexander, D.D.S
- Tiffany Chanelle Alexander
- Trace Lawrence Alexander, FNP,DC
- Michelle Lorraine Alexandre, ACNS-BC
- Alexis D. Jacob, M.D., P.L.L.C. (Vascular Associates of North Texas)
- Italy Alfaro
- Melody Anne Alford
- Alfred Antonetti MD and Associates
- Alfred J. Rodriguez, M.D., P.a.
- Marqus Alfred
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.