Individual provider Active NPI

Andrew Paul Thierry, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1184814006
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A112782 Issued in CA
Practice address
1112 Montana Ave Ste 392
Santa Monica, CA 90403-1652
Phone
(310) 740-6544
NPI assigned
Jul 26, 2007
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301086271 MI
Diagnostic Radiology Physician 2085R0202X A112782 CA Primary

Addresses

Primary practice location

1112 Montana Ave Ste 392
Santa Monica, CA 90403-1652

Mailing address

1112 Montana Ave Ste 392
Santa Monica, CA 90403-1652
Phone (310) 740-6544

Other practice location 1

857 4th St
Apt A
Santa Monica, CA 90403-1201
Phone (248) 935-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101015001058 CA Practitioner - Diagnostic Radiology 7416140918 Reassigns benefits to 2 organizations
I20250521002747 FL Practitioner - Diagnostic Radiology 7416140918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Practice addresses (Care Compare)

3428 N Roosevelt Blvd
Suite B
Key West, FL 33040-4224
Phone (305) 395-1000

492 E Channel Rd
Santa Monica, CA 90402-1339
Phone (510) 818-7411

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086271MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Serra Community Medical Clinic Inc Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Top Imaging, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Prime MRI Center, Inc CurrentSince Aug 17, 2026 Accepting new patients
Mission Imaging Inc CurrentSince Mar 14, 2024 Accepting new patients
MRI of Key West CurrentSince Mar 2, 2025 Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Fresno Imaging Center Diagnostic Radiology Past Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology PastSince Jan 20, 2010 Accepting new patients
Athletic Imaging, Inc. Diagnostic Radiology PastSince Dec 1, 2024 Accepting new patients
DMS Imaging Inc Past Accepting new patients

Locations

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

3428 N Roosevelt Blvd
Ste B
Key West, FL 33040
Phone (305) 395-1000

Interoperability endpoints

  • Direct secure messaging: athierry152330@direct.whhs.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1184814006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 392",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-740-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 392",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-740-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "857 4th St",
            "address_2": "Apt A",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904031201",
            "country_code": "US",
            "telephone_number": "248-935-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIERRY",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-10-25",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301086271",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.