Radiology Consultants, LTD.

Organization Active NPI Diagnostic Radiology Physician · Reno, NV

NPI 1285735571 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1285735571
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
RADIOLOGY CONSULTANTS, LTD.
Practice address
645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505
Phone
(317) 614-9882
NPI assigned
Sep 26, 2006
Organization subpart
No

Authorized official

Name
Dr. Shin Y Kim, MD
Title
Authorized Official
Phone
(317) 614-9882

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 79

Medicare participation

Medicare fee-for-service enrollment
Enrolled (27 enrollments) in NV, TX, WA, HI, CA, WY, OR, AZ, DC, TN, FL, MI, NJ, VA, NY, MA, PA, OK, WI, NM, OH, KS, MO, IA, NC, NH, GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040629000228 NV Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 11 practitioners
Practice locations: Las Vegas, NV; Reno, NV
O20180925001776 TX Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX; Houston, TX; Keller, TX; Lubbock, TX; Spring, TX
O20180925003155 WA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 6 practitioners
Practice locations: Bellevue, WA; Anacortes, WA; Leavenworth, WA; Kirkland, WA; Clyde Hill, WA; Bothell, WA
O20180925003306 HI Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Haleiwa, HI; Kailua, HI; Kaneohe, HI
O20180925003552 CA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 12 practitioners
Practice locations: Sacramento, CA; San Diego, CA; San Francisco, CA; San Luis Obispo, CA; San Marino, CA; Santa Clara, CA; Truckee, CA; Walnut Creek, CA…
O20180927000866 WY Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Cody, WY; Jackson, WY; Wilson, WY
O20181002003361 OR Part B Supplier - Clinic/Group Practice 9032195128 Practice locations: Lake Oswego, OR
O20181002003421 AZ Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 6 practitioners
Practice locations: Scottsdale, AZ; Phoenix, AZ; Mesa, AZ; Gilbert, AZ; Chandler, AZ
O20181107002838 DC Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 4 practitioners
Practice locations: Potomac, MD; MC Lean, VA; Gaithersburg, MD; Arlington, VA
O20181107003779 TN Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 3 practitioners
Practice locations: Signal Mountain, TN; Ooltewah, TN; Knoxville, TN
O20190214001842 FL Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Mary, FL; Windermere, FL; Tampa, FL; Gulf Breeze, FL; Enterprise, FL; Bradenton Beach, FL
O20201118001627 MI Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI
O20210203000880 NJ Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Harvey Cedars, NJ; Jersey City, NJ; Tinton Falls, NJ
O20210330000823 VA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, VA; Williamsburg, VA; Hillsboro, VA
O20220214000147 NY Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Cornwall, NY
O20220214000375 MA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Amherst, MA; Newburyport, MA; Framingham, MA
O20231104000694 PA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 4 practitioners
Practice locations: Gibsonia, PA; Girard, PA; Wynnewood, PA; Ambler, PA
O20231104000729 OK Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 3 practitioners
Practice locations: Edmond, OK; Nichols Hills, OK; Stillwater, OK
O20240306002253 WI Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, WI
O20240815002694 NM Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM
O20240921000541 OH Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH
O20241011001200 KS Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20250514003015 MO Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MO
O20260108000793 IA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Ames, IA; Mason City, IA
O20260305002217 NC Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Morrisville, NC
O20260306001327 NH Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 2 practitioners
Practice locations: Henniker, NH; Stratham, NH
O20260416003928 GA Part B Supplier - Clinic/Group Practice 9032195128 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

Locations

645 N Arlington Ave
Ste 250A
Reno, NV 89503
Phone (775) 329-7707

5070 Ion Dr
Sparks, NV 89436
Phone (775) 352-5335

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X NV Yes

Addresses

Primary practice location

645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505

Mailing address

PO Box 5700
Reno, NV 89513-5700
Phone (317) 614-9882

Other identifiers

IdentifierTypeStateIssuer
100500834MedicaidNV

Other providers in Reno, NV

All providers in Reno, NV · Diagnostic Radiology Physician in Nevada

Sources for this page

Verify at the official NPI Registry.