Active NPI
Medical X-Ray Consultants, LTD
- Vascular & Interventional Radiology Physician
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104872092 | Medicaid | WI | |
| 031693800 | Medicaid | MN | |
| 32726600 | Medicaid | WI |
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, IN
Enrollment records 24
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba MXC Neurosurgical Services
- Neurological Surgery Physician
- Alexandria, MN
- NPI 1679838023
O20040308000614
National Provider Directory
National Provider Directory- Tax ID family
- Poretta Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The CORE Institute
- Durable Medical Equipment & Medical Supplies
- Novi, MI
- NPI 1053758391
-
dba The CORE Institute
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
- NPI 1396182804
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.
-
- Vascular & Interventional Radiology Physician
- Fairfax, VA
- NPI 1558758607
Diagnostic Radiology, GA, WI
-
- Anesthesiology Physician
- Appleton, WI
- NPI 1407884984
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1609815265
-
- Diagnostic Radiology Physician
- North Miami Beach, FL
- NPI 1184034118
Multi-Specialty
-
- Diagnostic Radiology Physician
- Goodlettsville, TN
- NPI 1184990574
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1679736284
-
- Family Nurse Practitioner
- Eau Claire, WI
- NPI 1356125371
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1376588202
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.