Organization Active NPI

Diamond Interventional Center LLC

  • Vascular & Interventional Radiology Physician
  • Lee's Summit, MO
National Provider Identifier
1427718121
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DIAMOND INTERVENTIONAL CENTER LLC
Practice address
3600 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2369
Phone
(816) 721-4968
NPI assigned
Dec 21, 2021
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Mr. Deven Roy
Title
Managing Partner
Phone
(209) 756-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

3600 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2369

Mailing address

14109 Overbrook Rd Ste a
Leawood, KS 66224-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429000876 MO Part B Supplier - Clinic/Group Practice 5092102699 Receives reassigned benefits from 7 practitioners
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1427718121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14109 OVERBROOK RD STE A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662244519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369",
            "telephone_number": "816-721-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND INTERVENTIONAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "209-756-4832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.