Active NPI
Radiographics, Inc.
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- RADIOGRAPHICS, INC.
- Practice address
- 2135 Hillshire Cir
Memphis, TN 38133-6074 - Phone
- (901) 382-4175
- Fax
- (901) 382-2929
- NPI assigned
- Jan 30, 2007
- Last updated
- Jan 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Lee Johnson, R.T.
- Title
- Vice President
- Phone
- (901) 382-4175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | TN | Primary |
Addresses
Primary practice location
2135 Hillshire Cir
Memphis, TN 38133-6074
Mailing address
2135 Hillshire Cir
Memphis, TN 38133-6074
Phone (901) 382-4175
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167592710 | Medicaid | AR | |
| 09879015 | Medicaid | MS | |
| 4073480 | Other | TN | BCBS |
| P00124998 | Other | TN | RAILROAD MEDICARE |
| 19810 | Other | AR | BCBS |
| 3400835 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
Enrollment records 4
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245376581. Details of each certification follow.
Portable X-ray supplier certification: CCN 44X0009801
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- RADIOGRAPHICS
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Feb 4, 1979
- Last certification
- May 9, 2018
- Ownership / control type
- Corporation
- Facility address
- 2135 Hillshire Circle
Memphis, TN 38133
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2135 Hillshire Cir
Memphis, TN 38133
Phone (901) 382-4175
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Diagnostic Radiology Physician
- Laredo, TX
- NPI 1407893894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358812800000",
"number": "1245376581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 HILLSHIRE CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381336074",
"telephone_number": "901-382-4175",
"fax_number": "901-382-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 HILLSHIRE CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381336074",
"telephone_number": "901-382-4175",
"fax_number": "901-382-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOGRAPHICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2013-01-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "901-382-4175",
"authorized_official_credential": "R.T."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167592710",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09879015",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4073480",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00124998",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19810",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400835",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.