Active NPI
Andrew Paul Thierry, MD
- Diagnostic Radiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A112782
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086271 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare Services Inc | Current | Accepting new patients | |
| Serra Community Medical Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| Serra Community Medical Clinic, Inc. | Current | Accepting new patients | |
| Top Imaging, Inc. | Current | Accepting new patients | |
| Prime MRI Center, Inc | Current | Accepting new patients | |
| Mission Imaging Inc | Current | Accepting new patients | |
| MRI of Key West | Current | 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 | Past | Accepting new patients |
| Athletic Imaging, Inc. | Diagnostic Radiology | Past | 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
- 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.
-
- Adult Medicine Physician
- Sun Valley, CA
- NPI 1275545725
Diagnostic Radiology
-
- Specialist
- Fremont, CA
- NPI 1851355622
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Key West, FL
- NPI 1992585038
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1780172106
-
- Radiology Clinic/Center
- Fremont, CA
- NPI 1003983685
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Colton, CA
- NPI 1598190589
-
dba top diagnostic
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Garden Grove, CA
- NPI 1508453101
-
dba Serra Community Medical Clinic- Pacoima
- Internal Medicine Physician
- Pacoima, CA
- NPI 1477134302
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1659456499
-
dba Modesto Advanced Diag Imaging Medical Center
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
-
dba United Medical Imaging of Brea
- Radiology Clinic/Center
- Brea, CA
- NPI 1326138686
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Washington Hospital
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.