Organization Active NPI

Narra Radiology Inc.

Doing business as Mingo Pike Radiology Inc

  • Specialist
  • South Williamson, KY
National Provider Identifier
1245368125
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21656 Issued in KY
Legal business name
NARRA RADIOLOGY INC.
Doing business as
Mingo Pike Radiology Inc
Practice address
411 Central Ave
#1
South Williamson, KY 41503-4149
Phone
(606) 237-6300
Fax
(606) 237-7444
NPI assigned
Mar 1, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Bapuji Narra, M.DNPI 1275598625
Title
Owner
Phone
(606) 237-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21656 KY Primary
Diagnostic Radiology Physician 2085R0202X 21656 KY

Addresses

Primary practice location

411 Central Ave
#1
South Williamson, KY 41503-4149

Mailing address

411 Central Ave
#1
South Williamson, KY 41503-4149
Phone (606) 237-6300

Other identifiers 8

IdentifierTypeStateIssuer
1045897OtherWVCAMBRIDGE
65932956MedicaidKY
02772OtherAETNA NETWORK ID
65041OtherKYBC/BS
1025204OtherWVWV COMP
64216567MedicaidKY
65036OtherANTHEM
300097776OtherRR MEDICARE

Other names 1

  • Mingo Pike Radiology Inc Doing business as

National Provider Directory

National Provider Directory

Locations

411 Central Ave
Ste 1
South Williamson, KY 41503
Phone (606) 237-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1245368125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CENTRAL AVE",
            "address_2": "#1",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034149",
            "telephone_number": "606-237-6300",
            "fax_number": "606-237-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CENTRAL AVE",
            "address_2": "#1",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034149",
            "telephone_number": "606-237-6300",
            "fax_number": "606-237-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARRA RADIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "NARRA",
        "authorized_official_first_name": "BAPUJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-237-6300",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "21656",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "21656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMBRIDGE",
            "identifier": "1045897",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65932956",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NETWORK ID",
            "identifier": "02772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "65041",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMP",
            "identifier": "1025204",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64216567",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "65036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300097776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mingo Pike Radiology Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.