Organization Active NPI

Radadvantage a Professional Corporation

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1376719666
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADADVANTAGE A PROFESSIONAL CORPORATION
Practice address
3805 E Bell Rd
Ste 5500
Phoenix, AZ 85032-2189
Phone
(866) 891-1336
NPI assigned
May 6, 2008
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Kathleen Kondas
Title
Officer
Phone
(954) 838-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3805 E Bell Rd
Ste 5500
Phoenix, AZ 85032-2189

Mailing address

13737 Noel Rd
#1600
Dallas, TX 75240-1331
Phone (954) 838-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100714000147 IN Part B Supplier - Clinic/Group Practice 2163597899 Receives reassigned benefits from 2 practitioners
Practice locations: Newburgh, IN; Indianapolis, IN; Carmel, IN
O20150715000075 MI Part B Supplier - Clinic/Group Practice 2163597899 Receives reassigned benefits from 89 practitioners
Practice locations: Wyandotte, MI; Temperance, MI; Royal Oak, MI; Novi, MI; Marquette, MI; Mackinac Island, MI; Livonia, MI; Holland, MI…

National Provider Directory

National Provider Directory

Locations (25 of 26)

1903 E Thomas Rd
Phoenix, AZ 85016

3805 E Bell Rd
Ste 5500
Phoenix, AZ 85032
Phone (602) 910-6887

2460 S Parkview Loop
Yuma, AZ 85364

395 E Birch St
Calexico, CA 92231

17051 Sierra Lakes Pkwy
Fontana, CA 92336
Phone (909) 428-1800

44725 10th St W
Ste 180
Lancaster, CA 93534
Phone (661) 945-5855

6222 Wilshire Blvd
Ste 450
Los Angeles, CA 90048
Phone (323) 931-3400

39115 Trade Center Dr
Palmdale, CA 93551
Phone (661) 223-3880

1617 N California St
Ste 1A
Stockton, CA 95204
Phone (209) 467-6363

4696 Broadway St
Unit 2A
Boulder, CO 80304
Phone (303) 527-0937

13650 Fiddlesticks Blvd
Ste 395
Fort Myers, FL 33912
Phone (773) 754-5266

5680 W Cypress St
Tampa, FL 33607
Phone (813) 286-2800

1175 Peachtree St NE
Ste 1425
Atlanta, GA 30361
Phone (678) 904-2590

3 Erie Ct
#W
Oak Park, IL 60302

420 William St
Bldg B
River Forest, IL 60305
Phone (708) 763-2200

2205 Central Ave
Ste A
Dodge City, KS 67801
Phone (620) 408-9700

3520 Lakin Ave
Ste 105
Great Bend, KS 67530
Phone (620) 292-6031

2501 E 13th St
Ste 2
Hays, KS 67601
Phone (785) 623-2130

6245 Lemay Ferry Rd
Saint Louis, MO 63129

770 Trademark Dr
Ste 201
Reno, NV 89521
Phone (775) 224-4825

8725 Technology Way
Ste B106207
Reno, NV 89521
Phone (775) 224-4825

1650 Selwyn Ave
Ofc A
Bronx, NY 10457
Phone (917) 584-6573

9452 Lockbox
Philadelphia, PA 19178

8650 Spicewood Springs Rd
Ste 145578
Austin, TX 78759
Phone (214) 674-9038

10460 Vista del Sol Dr
Ste 201
El Paso, TX 79925
Phone (915) 593-5108

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 285

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 285

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1376719666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "#1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "STE 5500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322189",
            "telephone_number": "866-891-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADADVANTAGE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.