Organization Active NPI

All-American Teleradiology LLC

  • Diagnostic Radiology Physician
  • Bay Village, OH
National Provider Identifier
1386081248
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALL-AMERICAN TELERADIOLOGY LLC
Practice address
27101 E Oviatt Rd Ste 3
Bay Village, OH 44140-3301
Phone
(888) 365-5514
Fax
(800) 616-0084
NPI assigned
May 31, 2013
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mrs. Krysty Radabaugh
Title
VP of Operations
Phone
(888) 365-5514

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Pediatric Radiology Physician 2085P0229X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

27101 E Oviatt Rd Ste 3
Bay Village, OH 44140-3301

Mailing address

27005 Knickerbocker Rd
Bay Village, OH 44140-2383
Phone (888) 365-5514

Other identifiers 2

IdentifierTypeStateIssuer
0106448MedicaidOH
1028835000001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140127000209 FL Part B Supplier - Clinic/Group Practice 3678707338 Receives reassigned benefits from 12 practitioners
Practice locations: Vero Beach, FL
O20140612000779 IL Part B Supplier - Clinic/Group Practice 3678707338 Receives reassigned benefits from 11 practitioners
Practice locations: Silvis, IL
O20250827002096 IA Part B Supplier - Clinic/Group Practice 3678707338 Receives reassigned benefits from 11 practitioners
Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

3955 Indian River Blvd
Vero Beach, FL 32960
Phone (772) 257-3621

5250 Competition Dr
Ste 100
Bettendorf, IA 52722
Phone (563) 449-7000

27005 Knickerbocker Rd
Bay Village, OH 44140
Phone (800) 365-5514

27101 E Oviatt Rd
Ste 3
Bay Village, OH 44140

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1386081248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 KNICKERBOCKER RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402383",
            "telephone_number": "888-365-5514",
            "fax_number": "800-616-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 E OVIATT RD STE 3",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441403301",
            "telephone_number": "888-365-5514",
            "fax_number": "800-616-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-AMERICAN TELERADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "RADABAUGH",
        "authorized_official_first_name": "KRYSTY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "888-365-5514",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106448",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028835000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.