Active NPI
Diagnostic Imaging Alliance of Louisville PSC
- Diagnostic Radiology Physician
- Louisville, KY
National Provider Identifier
1396765509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (502) 629-7601
- Fax
- (502) 629-7649
- NPI assigned
- Jul 20, 2006
- Last updated
- Oct 16, 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
- Dr. Durrett Craddock, MD
- Title
- President
- Phone
- (502) 629-7601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
234 E Gray St Ste 850
Louisville, KY 40202-1901
Phone (502) 585-1735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65922841 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN, FL, CO, TX, CT, VA
Enrollment records 7
National Provider Directory
National Provider DirectoryLocations
Dept 8054
Carol Stream, IL 60122
210 E Gray St
Ste 100
Louisville, KY 40202
234 E Gray St
Ste 250
Louisville, KY 40202
234 E Gray St
Ste 850
Louisville, KY 40202
3901 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 896-2120
4915 Norton Healthcare Blvd
Ste 101
Louisville, KY 40241
Practitioners & affiliated clinicians
Practitioners 43
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.
-
- Physician Assistant
- Louisville, KY
- NPI 1083580237
-
- Vascular & Interventional Radiology Physician
- Louisville, KY
- NPI 1477971455
Diagnostic Radiology, IN
-
- Adult Health Nurse Practitioner
- Louisville, KY
- NPI 1063176998
-
- Vascular & Interventional Radiology Physician
- Louisville, KY
- NPI 1114058781
Diagnostic Radiology, IN
-
- Nurse Practitioner
- Elizabethtown, KY
- NPI 1033824396
-
- Vascular & Interventional Radiology Physician
- Louisville, KY
- NPI 1114114931
Diagnostic Radiology, IN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1396765509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E GRAY ST STE 850",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021901",
"telephone_number": "502-585-1735",
"fax_number": "502-583-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "502-629-7601",
"fax_number": "502-629-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "CRADDOCK",
"authorized_official_first_name": "DURRETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-629-7601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65922841",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs Rd Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Louisville, KY
- Diabetes Control Center, LLC
- Diabetes Resource Center, Inc
- Diabetic and Medical Resources Corp
- Diabetic Resources and Medical Supplies, Inc.
- Catrinel Diaconeasa, M.D.
- Diagnostic Medical Imaging Associates, PSC. (Dmia)
- Diagnostic X-Ray Physicians, PSC
- Kimberly R Dial
- Dialysis Newco Inc (DSI Louisville Renal Center)
- Dialyze Direct Ky, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.