Organization Active NPI

Casper Medical Imaging, P.C.

  • Diagnostic Radiology Physician
  • Casper, WY
National Provider Identifier
1316908940
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CASPER MEDICAL IMAGING, P.C.
Practice address
419 South Washington Street
Suite 101
Casper, WY 82601
Phone
(307) 265-1620
Fax
(307) 237-1074
NPI assigned
Mar 31, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Jeffrey Rhea, MDNPI 1538505607
Title
President
Phone
(307) 265-1620

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

419 South Washington Street
Suite 101
Casper, WY 82601

Mailing address

419 South Washington Street
Suite 101
Casper, WY 82601
Phone (307) 265-1620

Other identifiers 2

IdentifierTypeStateIssuer
106191700MedicaidWY
10028819300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NC, TX, NE, FL, SC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040607000423 WY Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 24 practitioners
Practice locations: Casper, WY
O20230120001508 NC Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC
O20240327004068 TX Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX; Belton, TX
O20240425003516 NE Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 13 practitioners
Practice locations: Scottsbluff, NE
O20250530002130 FL Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL
O20260504007456 SC Part B Supplier - Clinic/Group Practice 8224010871 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

419 S Washington St
Casper, WY 82601
Phone (307) 265-8300

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1316908940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SOUTH WASHINGTON STREET",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SOUTH WASHINGTON STREET",
            "address_2": "SUITE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1620",
            "fax_number": "307-237-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASPER MEDICAL IMAGING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "RHEA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-265-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106191700",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028819300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.