Nicholas Gregory Iwasko, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L3347 Issued in TX

Practice address

4420 Cedarbrush Dr
Dallas, TX 75229-2901

Phone

(352) 222-7431

Fax

(972) 542-6915

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX, VA2 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

Specialty

Diagnostic Radiology

Education

University of Miami, LM Miller School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians

First Meridian Medical LLCGroup PAC ID 5092766352, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

34.03 of 100Reported as group

Quality

22.39

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (28 of 29)

Locations

Networks

• Freedom Health HMO Network

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.

• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• First Meridian Medical LLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1194176149

  VA

  Medicare reassignment Care Compare group NPD
• Miguel Oneto, MD, PA

  • Diagnostic Radiology Physician
  • Harlingen, TX
  • NPI 1669786950

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Southwestern Ultrasound Inc.

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1225137078

  TX

  Medicare reassignment NPD
• Radiologic Associates of Middletown PC

  • Diagnostic Radiology Physician
  • Middletown, CT
  • NPI 1124137328

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Synapse Radiology Associate, P.a.

  • Diagnostic Radiology Physician
  • McKinney, TX
  • NPI 1134315955

  Diagnostic Radiology

  NPD (past) Authorized official
• Medivest Denton, LP

  • Radiology Clinic/Center
  • Decatur, TX
  • NPI 1578214284

  Diagnostic Radiology

  NPD
• Midtown Medical Imaging - Frisco, LLC

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1083442099
  NPD
• Monticello Diagnostic Imaging Cleburne, LP

  • Radiology Clinic/Center
  • Cleburne, TX
  • NPI 1639893639

  Diagnostic Radiology

  NPD
• Monticello Diagnostic Imaging LP

  • Diagnostic Radiology Physician
  • Ft Worth, TX
  • NPI 1033160015

  Diagnostic Radiology

  NPD
• One Step Diagnostic II, Inc.

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1356447395
  NPD
• One Step Diagnostic III, L.P.

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1083851471
  NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1285649863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 CEDARBRUSH DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292901",
            "telephone_number": "352-222-7431",
            "fax_number": "972-542-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 CEDARBRUSH DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292901",
            "telephone_number": "352-222-7431",
            "fax_number": "972-542-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASKO",
        "first_name": "NICHOLAS",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "43010774455",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "L3347",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME-0073118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "AO68320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "35-07-8584-I",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ivory, LPC-A
• Aubrey Nicole Ivy
• Robb Ivy, CRNA
• Roy Ivy III, M.D.
• Jessika B Iwanski, MD PHD
• Anna Iwema, MS CCC-SLP
• Paschal M Iwu
• Leslie Iwuagwu
• Lynda Iwuala
• Cherrell Iwuji, PA-C

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.

Verify at the official NPI Registry.