Individual provider Active NPI

Troy Constant Avendanio

  • Diagnostic Radiology Physician
  • Farmington, MO
National Provider Identifier
1437165263
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3563 Issued in TX
Practice address
1101 W Liberty St
Dept. of Radiology
Farmington, MO 63640-1921
Phone
(573) 760-8075
NPI assigned
Aug 1, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L3563 TX Primary

Addresses

Primary practice location

1101 W Liberty St
Dept. of Radiology
Farmington, MO 63640-1921

Mailing address

PO Box 629
Farmington, MO 63640-0629
Phone (573) 760-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000263 TX Practitioner - Diagnostic Radiology 6002810793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Mar 1, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Oct 13, 2016 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 10, 2018 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV, LLP CurrentSince Jul 13, 2016 Accepting new patients
Btdi JV LLP CurrentSince Jul 13, 2016 Accepting new patients
Smith Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1437165263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400629",
            "telephone_number": "573-760-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W LIBERTY ST",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401921",
            "telephone_number": "573-760-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENDANIO",
        "first_name": "TROY",
        "middle_name": "CONSTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.