Active NPI
Shardan Marc Radmanesh, M.D.
- Diagnostic Radiology Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31177
- Practice address
- 5221 US Route 60
Huntington, WV 25705-2022 - Phone
- (304) 522-1550
- Fax
- (304) 522-1073
- NPI assigned
- Dec 13, 2008
- 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 | 44326 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 31177 | WV | Primary |
Addresses
Primary practice location
5221 US Route 60
Huntington, WV 25705-2022
Mailing address
5221 US Route 60
Huntington, WV 25705-2022
Phone (304) 522-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71001671 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Kentucky College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Nicholasville, KY 40356
Phone 3045221550454
3448 US Route 60
Huntington, WV 25705-2906
Phone 3045221550229
5897 State RT 7 Three Gable Surgi Ctr
Proctorville, OH 45669
Phone (740) 886-9911
Hospital & facility affiliations
- St Marys Medical Center
- Cabell Huntington Hospital, Inc
- Logan Regional Medical Center
- Rivers Health
- King'S Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.95 of 100
- Quality
- 67.56
- Improvement activities
- 40
- Cost
- 71.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| Three Gables Surgery Center LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Premier Imaging and Intervention, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Raleigh Radiology Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Tsohns Inc | Current | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
2483 Highway 644
Louisa, KY 41230
Phone (606) 324-4745
400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
3448 US Route 60
Huntington, WV 25705
Phone 3045521550 ext. 229
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Ripley, WV
- NPI 1285633370
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Diagnostic Radiology Physician
- Beckley, WV
- NPI 1669405106
-
- Otolaryngology Physician
- Huntington, WV
- NPI 1063503738
-
- Internal Medicine Physician
- Frankfort, KY
- NPI 1629740774
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Ambulatory Surgical Clinic/Center
- Proctorville, OH
- NPI 1124083878
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
-
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
-
- General Acute Care Hospital
- PT Pleasant, WV
- NPI 1598975120
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1245475649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052022",
"telephone_number": "304-522-1550",
"fax_number": "304-522-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5221 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052022",
"telephone_number": "304-522-1550",
"fax_number": "304-522-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADMANESH",
"first_name": "SHARDAN",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-13",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "44326",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "31177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71001671",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.