Individual provider Active NPI

Adam G Crouch, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
National Provider Identifier
1194833343
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34-00-6305C Issued in OH
Practice address
8390 Tod Ave
Youngstown, OH 44512-6366
Phone
(330) 629-8880
Fax
(330) 629-9181
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 34-00-6305C OH Primary

Addresses

Primary practice location

8390 Tod Ave
Youngstown, OH 44512-6366

Mailing address

10655 Washingtonville Rd
Canfield, OH 44406-9448
Phone (330) 726-6010

Other identifiers 1

IdentifierTypeStateIssuer
0179131MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20060919000540 OH Practitioner - Diagnostic Radiology 7618980988 Reassigns benefits to 1 organization
I20230620003054 MI Practitioner - Diagnostic Radiology 7618980988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians

Practice addresses (Care Compare)

10655 Washingtonville Rd
Canfield, OH 44406-9448
Phone (810) 732-1919

3346 Lennon Rd
Suite 2
Flint, MI 48507-1082
Phone (810) 732-1920

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Imaging, P.C. Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Family Orthopedic Associates P L C Past Accepting new patients
Mahoning Valley Imaging LTD Diagnostic Radiology Past Accepting new patients
Diagnostic Medical X Ra Diagnostic Radiology PastSince Mar 1, 2009 Accepting new patients

Locations

3346 Lennon Rd
Flint, MI 48507

3346 Lennon Rd
Ste 2
Flint, MI 48507
Phone (810) 732-1994

5059 Villa Linde Pkwy
Ste 25
Flint, MI 48532
Phone (810) 732-8870

5059 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 658-4454

Interoperability endpoints

  • Direct secure messaging: acrouch@64b87e43.micromddirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194833343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 WASHINGTONVILLE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069448",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 TOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126366",
            "telephone_number": "330-629-8880",
            "fax_number": "330-629-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34-00-6305C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.