Organization Active NPI

Beloit Radiology LTD

  • Diagnostic Radiology Physician
  • Beloit, WI
National Provider Identifier
1386661734
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BELOIT RADIOLOGY LTD
Practice address
1969 W Hart Rd
Beloit, WI 53511
Phone
(608) 364-5269
NPI assigned
Jul 15, 2006
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Jimmy Dado Jr.
Title
Director of Revenue Cycle
Phone
(614) 325-8899

Specialties & licenses 1

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

Addresses

Primary practice location

1969 W Hart Rd
Beloit, WI 53511

Mailing address

2101 Riverside Dr
Beloit, WI 53511
Phone (608) 362-7888

Other identifiers 1

IdentifierTypeStateIssuer
32788800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, MI, NY, PA, OK, CA, FL, OH, AZ, VA, AR, TX, MD, CO, KS, NC, NH, MA, CT, IL, KY, WA, NV, TN, DC, GA, OR, LA29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
O20051024000425 WI Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 39 practitioners
Practice locations: Appleton, WI; Waunakee, WI; Green Bay, WI; Fitchburg, WI; Beloit, WI
O20220113000736 IA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 4 practitioners
Practice locations: Urbandale, IA; Waterloo, IA; Waukee, IA; North Liberty, IA
O20220113001751 MI Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomfield Hills, MI; Brighton, MI; Midland, MI
O20220118000492 NY Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 5 practitioners
Practice locations: Averill Park, NY; Poughkeepsie, NY; Pomona, NY; New York, NY; Pleasantville, NY
O20220119001631 PA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Thornton, PA
O20220120000430 OK Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 3 practitioners
Practice locations: Stratford, OK; Edmond, OK; Tulsa, OK
O20220124000614 CA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 7 practitioners
Practice locations: Del Mar, CA; Westlake Village, CA; South Pasadena, CA; San Diego, CA; Danville, CA; Costa Mesa, CA
O20220217000027 FL Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 6 practitioners
Practice locations: Sunny Isles Beach, FL; Punta Gorda, FL; Palm Beach Gardens, FL; Niceville, FL; Orlando, FL; Boca Raton, FL; Lakewood Ranch, FL
O20220224000978 OH Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH; Lima, OH; Strongsville, OH
O20220714000031 AZ Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 7 practitioners
Practice locations: Rio Verde, AZ; Tucson, AZ; Scottsdale, AZ; Prescott, AZ; Phoenix, AZ; Gilbert, AZ; Flagstaff, AZ
O20221107000457 VA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA; Henrico, VA; Virginia Beach, VA
O20240523004195 AR Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Mena, AR
O20240524001652 TX Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX; Weatherford, TX; San Antonio, TX; Plano, TX; Houston, TX; Fort Worth, TX
O20240524001769 MD Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Lutherville Timonium, MD; Baltimore, MD
O20240528002777 CO Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 6 practitioners
Practice locations: Basalt, CO; Boulder, CO; Carbondale, CO; Castle Pines, CO; Castle Rock, CO; Centennial, CO; Longmont, CO
O20240530002097 KS Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, KS
O20240531000103 NC Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 4 practitioners
Practice locations: Durham, NC; Wilmington, NC; Raleigh, NC; Arden, NC
O20240531001419 NH Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Raymond, NH; Rochester, NH
O20240531003195 MA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, MA; East Falmouth, MA
O20240603002598 CT Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwich, CT
O20240603002665 IL Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Deerfield, IL; South Barrington, IL
O20240722001399 KY Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20240731004348 WA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 5 practitioners
Practice locations: Arlington, WA; Bellevue, WA; Friday Harbor, WA; Mukilteo, WA; Seattle, WA
O20240802003366 NV Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20240806003300 TN Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsport, TN
O20240806003586 DC Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: MC Lean, VA; Vienna, VA; Potomac, MD
O20240806004076 GA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA; Brookhaven, GA
O20250401003217 OR Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20260506003627 LA Part B Supplier - Clinic/Group Practice 3274559711 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

318 W 18TH St
Apt 5D
New York, NY 10011

340 Midland Rd
Ste 120
Janesville, WI 53546

Practitioners & affiliated clinicians

Practitioners 117

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 117

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1386661734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 RIVERSIDE DR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-362-7888",
            "fax_number": "608-362-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-364-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOIT RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "DADO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "614-325-8899",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32788800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.