Active NPI
Amir Fallahian, MD
- Diagnostic Radiology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A110683
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225869 | Medicaid | AL | |
| 225261 | Medicaid | AL | |
| 225666 | Medicaid | AL | |
| 225750 | Medicaid | AL | |
| 242920 | Medicaid | AL | |
| 225264 | Medicaid | AL | |
| 225757 | Medicaid | AL | |
| 225864 | Medicaid | AL | |
| 242813 | Medicaid | AL | |
| 225752 | Medicaid | AL | |
| 225872 | Medicaid | AL | |
| 242869 | Medicaid | AL | |
| 225667 | Medicaid | AL | |
| 240027 | Medicaid | AL | |
| 242825 | Medicaid | AL | |
| 12172836 | Other | AL | CAQH |
| 225663 | Medicaid | AL | |
| 243171 | Medicaid | AL | |
| 890-51518 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN, AL, FL, MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
- Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinAspirus Medford Hospital and Clinics IncAspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME137159 | FL | MD | Diagnostic Radiology Physician |
| 45271 | IA | MD | Diagnostic Radiology Physician |
| 309023 | LA | MD | Diagnostic Radiology Physician |
| 4301114640 | MI | MD | Diagnostic Radiology Physician |
| 2018012676 | MO | MD | Diagnostic Radiology Physician |
| 30955 | OK | MD | Diagnostic Radiology Physician |
| 57476 | TN | MD | Diagnostic Radiology Physician |
| 0101264885 | VA | MD | Diagnostic Radiology Physician |
| 37496 | AL | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Health MRI of Gadsden, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics Inc. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| United Medical Imaging Healthcare Inc. | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| West Florida Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Merrill Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Diagnostic Health MRI of Gadsden, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Radiology of Hunstville PC | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Keck Medicine of Usc Imaging Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Eagle River Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Bioimaging of Huntsville Inc | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Health MRI of Gadsden, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Diagnostic Health MRI of Gadsden, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | 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
- afallahian146628@uihcdirect.org
- 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.
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
CA
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
CA
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
CA
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Huntsville, AL
- NPI 1801886080
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
dba UF Health Medical Specialties Davis Cancer Pavilion
- Medical Specialty Clinic/Center
- Gainesville, FL
- NPI 1083403661
Hospital
-
dba UF Health Medical Specialties Medical Plaza
- Medical Specialty Clinic/Center
- Gainesville, FL
- NPI 1144019720
Hospital
-
dba UF Health Rehab Center San Felasco
- Rehabilitation Clinic/Center
- Alachua, FL
- NPI 1306717889
Hospital
-
dba UF Health Rehab Center Celebration Pointe
- Rehabilitation Clinic/Center
- Gainesville, FL
- NPI 1396616876
Hospital
-
dba UF Health Rehab Center for Kids Jonesville
- Rehabilitation Clinic/Center
- Newberry, FL
- NPI 1477424943
Hospital
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1699874248
-
dba UF Health Ocala Neighborhood Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1992542369
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.