NPIMap

Organization Active NPI

Radiology Imaging Corpus Christi, PLLC

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1194469221
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY IMAGING CORPUS CHRISTI, PLLC
Practice address
3226 S Alameda St
Corpus Christi, TX 78404-2508
Phone
(361) 888-6684
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mr. John P Stagg
Title
Ceo
Phone
(504) 459-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3226 S Alameda St
Corpus Christi, TX 78404-2508

Mailing address

4241 Veterans Memorial Blvd Ste 200
Metairie, LA 70006-5430
Phone (504) 888-7921

Other practice location 1

2825 Spohn South Drive
Corpus Christi, TX 78414
Phone (361) 991-9595

Other names 1

  • Radiology and Imaging of South Texas Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220606002617 TX Part B Supplier - Clinic/Group Practice 9436537362 Receives reassigned benefits from 50 practitioners
Practice locations: Corpus Christi, TX
O20241121000411 UT Part B Supplier - Clinic/Group Practice 9436537362 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1086784Radiology & Imaging Corpus Christi, PLLC3226 South Alameda, Corpus Christi, TX 78404Certificate of waiverJul 17, 2026

National Provider Directory

National Provider Directory

Locations

2825 Spohn Dr S
Corpus Christi, TX 78414
Phone (361) 991-9595

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1194469221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065430",
            "telephone_number": "504-888-7921",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042508",
            "telephone_number": "361-888-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Spohn South Drive",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78414",
            "country_code": "US",
            "telephone_number": "361-991-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIOLOGY IMAGING CORPUS CHRISTI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-459-3208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology and Imaging of South Texas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.