Individual provider Active NPI

Eugene Oh, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1184613135
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30068 Issued in AZ
Practice address
5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405
Phone
(480) 425-5063
Fax
(623) 915-6924
NPI assigned
Oct 20, 2005
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 30068 AZ Primary

Addresses

Primary practice location

5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405

Mailing address

5322 W Northern Ave
Southwest Diagnostic Imaging LTD
Glendale, AZ 85301-1405
Phone (480) 425-5063

Other identifiers 2

IdentifierTypeStateIssuer
647894MedicaidAZ
Z70504OtherAZVRL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA, CA, MI, IL, TX6 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
I20040513001265 AZ Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 19 organizations
I20180103000342 VA Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 2 organizations
I20230602000803 CA Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 1 organization
I20240122000807 MI Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 1 organization
I20240924002792 IL Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 1 organization
I20260513001163 TX Practitioner - Diagnostic Radiology 7618967480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-7333

1005 Broadway St
Quincy, IL 62301-2834
Phone (309) 671-8282

10658 N 139TH St
Scottsdale, AZ 85259-5030
Phone (866) 579-1110

10944 E Onyx CT
Scottsdale, AZ 85259-4864
Phone (377) 439-4706

11906 E Desert Trail Rd
Scottsdale, AZ 85259-2724
Phone (337) 439-4706

1801 N Oregon St
Las Palmas Medical Center
El Paso, TX 79902-3524
Phone (915) 521-1200

2121 E la Vieve LN
Tempe, AZ 85284-3533
Phone (615) 312-0600

4445 N 36TH St
Apt 451
Phoenix, AZ 85018-3652
Phone (970) 900-6856

4724 E Mohave PL
Paradise Valley, AZ 85253-2919
Phone (337) 439-4706

6166 N Scottsdale Rd
Unit B2002
Paradise Valley, AZ 85253-5434
Phone (219) 767-6320

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

6803 E Main St
Unit 2203
Scottsdale, AZ 85251-4321
Phone (906) 449-3000

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (832) 915-2534

927 Broadway St
Suite 132
Quincy, IL 62301-2737
Phone (217) 223-8400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Jul 14, 2024 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
University of Virginia Physicians Group CurrentSince Nov 7, 2017 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 23, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Jul 14, 2024 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Oct 16, 2019 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 23, 2020 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Sep 23, 2019 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Aug 29, 2022 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Aug 21, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 30, 2019 Accepting new patients
Hurley Medical Center CurrentSince Dec 5, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 5, 2019 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Dec 5, 2023 Accepting new patients
Hurley Medical Center Current Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients
Vero Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cenla Urology Clinic LLC Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Radiology Physicians of Indian River County LC Diagnostic Radiology Past Accepting new patients

Locations (25 of 84)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

9165 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

19636 N 27th Ave
Ste LL1
Phoenix, AZ 85027
Phone (602) 485-7482

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 42

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 42

Hospital & facility affiliations 9

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1184613135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 W NORTHERN AVE",
            "address_2": "SOUTHWEST DIAGNOSTIC IMAGING LTD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011405",
            "telephone_number": "480-425-5063",
            "fax_number": "623-915-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 W NORTHERN AVE",
            "address_2": "SOUTHWEST DIAGNOSTIC IMAGING LTD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011405",
            "telephone_number": "480-425-5063",
            "fax_number": "623-915-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "30068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647894",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VRL",
            "identifier": "Z70504",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.