Organization Active NPI

Radiology Associates PA

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1366438186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MC0023 Issued in AR
Legal business name
RADIOLOGY ASSOCIATES PA
Practice address
500 S University Ave
Suite 101
Little Rock, AR 72205-5302
Phone
(501) 664-3914
Fax
(501) 664-5246
NPI assigned
Sep 27, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry W Linebarger
Title
Chief Administrative Officer
Phone
(501) 664-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MC0023 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 101
Little Rock, AR 72205-5302

Mailing address

500 S University Ave
Suite 101
Little Rock, AR 72205-5302
Phone (501) 664-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CO, WA, FL, CA, OK, NY, TX8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040421001682 AR Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 49 practitioners
Practice locations: Little Rock, AR
O20200302001508 CO Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 3 practitioners
Practice locations: Superior, CO
O20200713001634 WA Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 58 practitioners
Practice locations: Edmonds, WA
O20210318000253 FL Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 5 practitioners
Practice locations: Osprey, FL
O20211021002791 CA Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 5 practitioners
Practice locations: El Cajon, CA; Huntington Beach, CA
O20230621000208 OK Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 4 practitioners
Practice locations: Oklahoma City, OK
O20241025000848 NY Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY
O20241121001451 TX Part B Supplier - Clinic/Group Practice 7517953912 Receives reassigned benefits from 6 practitioners
Practice locations: Lewisville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1044895Radiology Associates PA500 South University Suite 101, Little Rock, AR 72205Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

500 S University Ave
Ste 604
Little Rock, AR 72205

Practitioners & affiliated clinicians

Practitioners 135

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 135

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366438186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINEBARGER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "501-664-3914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "MC0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.