Organization Active NPI

Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
National Provider Identifier
1386601383
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MEDICAL X-RAY CONSULTANTS, LTD
Practice address
111 17TH Ave E
Alexandria, MN 56308-5273
Phone
(715) 295-9431
NPI assigned
Apr 26, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Karen Marie Vaughn
Title
Authorized Official
Phone
(629) 317-1465

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X
Neuroradiology Physician 2085N0700X
Nuclear Radiology Physician 2085N0904X
Pediatric Radiology Physician 2085P0229X
Diagnostic Radiology Physician 2085R0202X
Vascular & Interventional Radiology Physician 2085R0204X Primary
Radiological Physics Physician 2085R0205X
Diagnostic Ultrasound Physician 2085U0001X

Addresses

Primary practice location

111 17TH Ave E
Alexandria, MN 56308-5273

Mailing address

PO Box 208962
Dallas, TX 75320-8962
Phone (715) 295-9431

Other identifiers 3

IdentifierTypeStateIssuer
1104872092MedicaidWI
031693800MedicaidMN
32726600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, TN, NY, DC, ME, FL, TX, MD, WV, AL, VA, GA, CT, CO, IL, NJ, NH, SC, MA, NC, OH, PA, IN24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20031113000625 MN Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 10 practitioners
Practice locations: Alexandria, MN; Wabasha, MN; Winona, MN
O20040308000614 WI Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
O20210211001307 TN Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 42 practitioners
Practice locations: Nashville, TN; Adams, TN; Antioch, TN; Brentwood, TN; Columbia, TN; Lebanon, TN; Hendersonville, TN; Franklin, TN
O20210330001620 NY Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 10 practitioners
Practice locations: New Hyde Park, NY; Orchard Park, NY; Old Westbury, NY; New York, NY; New Paltz, NY; Long Island City, NY; Albertson, NY
O20211215001800 DC Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: MC Lean, VA; Washington, DC
O20230823003564 ME Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 1 practitioner
Practice locations: Cushing, ME
O20231103000066 FL Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 26 practitioners
Practice locations: Highland Beach, FL; Orlando, FL; Palm Harbor, FL; Palmetto Bay, FL; Riverview, FL; Saint Petersburg, FL; St Petersburg, FL; Tampa, FL…
O20231115003920 TX Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 33 practitioners
Practice locations: San Antonio, TX; Tyler, TX; Southlake, TX; Austin, TX; San Angelo, TX; Alamo Heights, TX; Belton, TX; Dallas, TX…
O20231116003177 MD Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: Hagerstown, MD
O20231116003704 WV Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 1 practitioner
Practice locations: Hurricane, WV
O20240125003259 AL Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 6 practitioners
Practice locations: Hoover, AL; Montgomery, AL; Mountain BRK, AL; Vestavia, AL
O20240617001185 VA Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA
O20241226001363 GA Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 3 practitioners
Practice locations: Marietta, GA
O20250925001731 CT Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: Easton, CT; Guilford, CT
O20250926004509 CO Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 4 practitioners
Practice locations: Boulder, CO; Colorado Springs, CO; Denver, CO; Fort Collins, CO
O20250929002309 IL Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 15 practitioners
Practice locations: Chicago, IL; Lincolnwood, IL; Lemont, IL; Harvey, IL
O20251021004811 NJ Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ; Medford, NJ
O20251024003299 NH Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 5 practitioners
Practice locations: Amherst, NH; Bedford, NH; Bow, NH; Lebanon, NH; Lee, NH
O20251103002085 SC Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 2 practitioners
Practice locations: Daniel Island, SC; Hardeeville, SC
O20251218000206 MA Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 6 practitioners
Practice locations: Wayland, MA; Watertown, MA; Norfolk, MA; Lenox, MA; Hingham, MA; Boston, MA
O20260102000817 NC Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 1 practitioner
Practice locations: Southport, NC
O20260421002232 OH Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH
O20260429001590 PA Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA
O20260615001303 IN Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Poretta Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 28)

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

100 N Academy Ave
Ste 3950
Danville, PA 17822
Phone (570) 271-6301

412 White Bridge Pl
Nashville, TN 37209
Phone (615) 594-3738

201 W Northland Ave
Ste A
Appleton, WI 54911
Phone (920) 996-0724

3525 E Calumet St
Appleton, WI 54915
Phone (920) 788-4114

3525 E Calumet St
Ste 1500
Appleton, WI 54915

5471 W Waterford Ln
Appleton, WI 54913

19305 W North Ave
Brookfield, WI 53045

1716 Lawrence Dr
De Pere, WI 54115
Phone (920) 605-3115

1720 Harding Ave
Eau Claire, WI 54701

1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463

3703 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (534) 444-4562

4130 State Road 93
Eau Claire, WI 54701
Phone (715) 830-9507

480 Pilgrim Way
Ste 1300A
Green Bay, WI 54304
Phone (920) 610-5119

2501 Hanley Rd
Hudson, WI 54016
Phone (534) 544-5247

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

174 N Broadway
Milwaukee, WI 53202
Phone (414) 777-3060

4935 S 76th St
Ste 102
Milwaukee, WI 53220

10180 Washington Ave
#101
Mount Pleasant, WI 53177
Phone (414) 777-3189

3803 Spring St
#103
Mount Pleasant, WI 53405

1244 Wisconsin Ave
Ste 300
Racine, WI 53403
Phone (262) 637-6106

4027 N Oakland Ave
Shorewood, WI 53211
Phone (414) 319-3080

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

N63W23231 Main St
Unit 100
Sussex, WI 53089
Phone (262) 785-7720

1120 Main St
Union Grove, WI 53182
Phone (262) 687-8000

Practitioners & affiliated clinicians

Practitioners 322

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 322

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1386601383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208962",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208962",
            "telephone_number": "715-295-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085273",
            "telephone_number": "715-295-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL X-RAY CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104872092",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031693800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32726600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.