NPIMap

Individual provider Active NPI

Nick Treadwell, M.D.

  • Nuclear Radiology Physician
  • Beckley, WV
National Provider Identifier
1356579163
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
24339 Issued in WV
Practice address
200 Veterans Ave
Beckley, WV 25801-6444
Phone
(304) 255-2121
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 24339 WV Primary

Addresses

Primary practice location

200 Veterans Ave
Beckley, WV 25801-6444

Mailing address

200 Veterans Ave
Beckley, WV 25801-6444
Phone (304) 255-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001228 WV Practitioner - Diagnostic Radiology 0749621738 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

108 Cardinal PT
Fayetteville, WV 25840-9024
Phone (615) 312-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Carolina PC CurrentSince Aug 26, 2025 Accepting new patients
Pennsylvania Radiology Associates PC CurrentSince Aug 4, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 4, 2024 Accepting new patients
Radiology Alliance PC CurrentSince Sep 18, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC CurrentSince May 1, 2024 Accepting new patients
West Virginia Radiology Associates PC CurrentSince Aug 1, 2024 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

625 James Trimble Blvd
Paintsville, KY 41240

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1356579163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VETERANS AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016444",
            "telephone_number": "304-255-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VETERANS AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016444",
            "telephone_number": "304-255-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "WV",
            "license": "24339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.