Individual provider Active NPI

Amir Fallahian, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1164618278
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A110683 Issued in CA
Practice address
2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Sep 21, 2007
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2351 MN
Diagnostic Radiology Physician 2085R0202X A110683 CA Primary
Diagnostic Radiology Physician 2085R0202X 57476 TN
Diagnostic Radiology Physician 2085R0202X 37496 AL
Diagnostic Radiology Physician 2085R0202X 2018012676 MO
Diagnostic Radiology Physician 2085R0202X 04-37669 KS
Diagnostic Radiology Physician 2085R0202X 0101264885 VA
Diagnostic Radiology Physician 2085R0202X 309023 LA
Diagnostic Radiology Physician 2085R0202X 30955 OK
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-64774 MT
Diagnostic Radiology Physician 2085R0202X 45271 IA
Diagnostic Radiology Physician 2085R0202X 4301114640 MI
Diagnostic Radiology Physician 2085R0202X ME137159 FL

Addresses

Primary practice location

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537

Mailing address

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other practice location 2

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411

Other practice location 3

700 W Market St
Athens, AL 35611-2422
Phone (256) 233-9292

Other practice location 4

700 West Market Street, 2 South
Athens, AL 35611
Phone (256) 262-6767

Other practice location 5

3601 Cci Dr NW
Huntsville, AL 35805-2606
Phone (256) 705-4224

Other practice location 6

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Other practice location 7

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200

Other practice location 8

106 Medical Center Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

Other practice location 9

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Other practice location 10

202 Hospital St
Moulton, AL 35650-1218
Phone (256) 974-2200

Other practice location 11

2003 Whitesburg Dr SE
Huntsville, AL 35801-4543
Phone (256) 536-3550

Other practice location 12

101 Sivley Rd SW
Huntsville, AL 35801-4470
Phone (256) 265-1000

Other practice location 13

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0291

Other practice location 14

107 Governors Dr SW
Huntsville, AL 35801-4326
Phone (256) 535-2300

Other identifiers 19

IdentifierTypeStateIssuer
225869MedicaidAL
225261MedicaidAL
225666MedicaidAL
225750MedicaidAL
242920MedicaidAL
225264MedicaidAL
225757MedicaidAL
225864MedicaidAL
242813MedicaidAL
225752MedicaidAL
225872MedicaidAL
242869MedicaidAL
225667MedicaidAL
240027MedicaidAL
242825MedicaidAL
12172836OtherALCAQH
225663MedicaidAL
243171MedicaidAL
890-51518OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN, AL, FL, MI, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20121206000146 CA Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 10 organizations
I20180827002208 TN Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 1 organization
I20181221002146 AL Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 3 organizations
I20251120001700 FL Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 1 organization
I20260227001778 MI Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 6 organizations
I20260304002907 WI Practitioner - Diagnostic Radiology 6901942093 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Radiology of Hunstville PCGroup PAC ID 2567458359, 64 clinicians
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Aspirus KeweenawGroup PAC ID 8123912011, 116 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1036 Breakaway Dr
Oceanside, CA 92057-1912
Phone (480) 306-6949

1080 S Taylor CT
Anaheim, CA 92808-2425
Phone (256) 539-0457

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

125 W Hungtington Dr
Arcadia, CA 91007-3050

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1535 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 273-9500

1549 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 265-4357

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

300 Old Newport Blvd
Newport Beach, CA 92663-4121
Phone (949) 646-6441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137159FLMDDiagnostic Radiology Physician
45271IAMDDiagnostic Radiology Physician
309023LAMDDiagnostic Radiology Physician
4301114640MIMDDiagnostic Radiology Physician
2018012676MOMDDiagnostic Radiology Physician
30955OKMDDiagnostic Radiology Physician
57476TNMDDiagnostic Radiology Physician
0101264885VAMDDiagnostic Radiology Physician
37496ALMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Aspirus Keweenaw CurrentSince Apr 3, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc. CurrentSince Apr 3, 2026 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2019 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Apr 3, 2026 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Feb 25, 2026 Accepting new patients
United Medical Imaging Healthcare Inc. CurrentSince Jun 1, 2022 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Apr 3, 2026 Accepting new patients
Aspirus Keweenaw CurrentSince Apr 3, 2026 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Feb 25, 2026 Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 11, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Apr 3, 2026 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Apr 3, 2026 Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology CurrentSince Aug 15, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc CurrentSince Feb 25, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 3, 2026 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 3, 2026 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Keck Medicine of Usc Imaging Centers, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Feb 25, 2026 Accepting new patients
Bioimaging of Huntsville Inc Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Oct 3, 2018 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Feb 25, 2026 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Dec 13, 2021 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 11, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Howard John Simon MD PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 44)

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

700 W Market St
#2S
Athens, AL 35611
Phone (256) 233-9292

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986

2003 Whitesburg Dr SE
Huntsville, AL 35801
Phone (256) 536-3550

2006 Franklin St SE
Ste 200
Huntsville, AL 35801
Phone (256) 538-0457

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

3601 Cci Dr NW
Ste 20
Huntsville, AL 35805

528 Madison St SE
Huntsville, AL 35801
Phone (205) 533-3200

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

15775 Laguna Canyon Rd
Irvine, CA 92618
Phone (617) 455-2048

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

1520 San Pablo St
Ste LL1600
Los Angeles, CA 90033
Phone (323) 442-8541

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

590 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-8676

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: afallahian146628@uihcdirect.org
  • Direct secure messaging: afallahian819422@direct.shands.ufl.edu

Organizations & group practices 54

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.

View all 54

Hospital & facility affiliations 12

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1164618278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Market St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112422",
            "country_code": "US",
            "telephone_number": "256-233-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 West Market Street, 2 South",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "35611",
            "country_code": "US",
            "telephone_number": "256-262-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Cci Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358052606",
            "country_code": "US",
            "telephone_number": "256-705-4224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016455",
            "country_code": "US",
            "telephone_number": "256-429-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982404",
            "country_code": "US",
            "telephone_number": "931-967-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373342684",
            "country_code": "US",
            "telephone_number": "931-438-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Woods Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501218",
            "country_code": "US",
            "telephone_number": "256-974-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014543",
            "country_code": "US",
            "telephone_number": "256-536-3550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Sivley Rd SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014470",
            "country_code": "US",
            "telephone_number": "256-265-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "fax_number": "352-265-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Governors Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014326",
            "country_code": "US",
            "telephone_number": "256-535-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLAHIAN",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "2351",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110683",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "57476",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "37496",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2018012676",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-37669",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101264885",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "309023",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "30955",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-64774",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "45271",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301114640",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME137159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225869",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225261",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225666",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225750",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242920",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225264",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225757",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225864",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242813",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225752",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225872",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242869",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225667",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240027",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242825",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12172836",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225663",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243171",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "890-51518",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.