Individual provider Active NPI

Shardan Marc Radmanesh, M.D.

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1245475649
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31177 Issued in WV
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

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71001671MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110801000952 KY Practitioner - Diagnostic Radiology 7315116753 Reassigns benefits to 2 organizations
I20220329001466 WV Practitioner - Diagnostic Radiology 7315116753 Reassigns benefits to 2 organizations
I20220329001798 OH Practitioner - Diagnostic Radiology 7315116753 Reassigns benefits to 1 organization

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
Radiology IncGroup PAC ID 2365340429, 28 clinicians

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 Hospital, Huntington, WV, CCN 510007
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Rivers Health Hospital, Point Pleasant, WV, CCN 510012
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Radiology Inc Diagnostic Radiology CurrentSince Dec 21, 2021 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 CurrentSince Jan 1, 2024 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince May 31, 2022 Accepting new patients
Raleigh Radiology Inc. Diagnostic Radiology CurrentSince Mar 27, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2024 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.