Active NPI
Louis Michael Radnothy, D.O.
- Emergency Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4480
- Practice address
- 5210 N 19TH Ave
Suite 121
Phoenix, AZ 85015-2946 - Phone
- (928) 920-0782
- Fax
- (928) 328-3635
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4480 | AZ | Primary |
Addresses
Primary practice location
5210 N 19TH Ave
Suite 121
Phoenix, AZ 85015-2946
Mailing address
PO Box 3147
Yuma Proving Grounds
Yuma, AZ 85365-0903
Phone (928) 920-0782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.49 of 100
- Quality
- 89.76
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4480 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Columbus Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients | |
| Louis J Radnothy DO PA | Past | Accepting new patients | |
| Weirsdale Family Health Center Inc | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/ECJJAD
- lradnothy2710651@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Whiteville, NC
- NPI 1588813786
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
-
- Rural Health Clinic/Center
- Umatilla, FL
- NPI 1578639209
-
- Rural Health Clinic/Center
- Weirsdale, FL
- NPI 1669548392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1184709594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3147",
"address_2": "YUMA PROVING GROUNDS",
"city": "YUMA",
"state": "AZ",
"postal_code": "853650903",
"telephone_number": "928-920-0782",
"fax_number": "928-328-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 N 19TH AVE",
"address_2": "SUITE 121",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152946",
"telephone_number": "928-920-0782",
"fax_number": "928-328-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADNOTHY",
"first_name": "LOUIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "4480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.