Organization Active NPI

Radiology Consultants, LTD.

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1285735571
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Shin Y Kim, MDNPI 1821199068
Title
Authorized Official
Phone
(317) 614-9882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled 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, GA27 enrollments

Enrollment records 27

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

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 79

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.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285735571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895135700",
            "telephone_number": "317-614-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "SUITE 250A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "317-614-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-614-9882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.