Active NPI
Richard Dwight Handley, MD
- Diagnostic Radiology Physician
- Tyler, TX
National Provider Identifier
1447224647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E7110
- Practice address
- 520 Douglas Blvd
Tyler, TX 75702-8307 - Phone
- (903) 510-1175
- Fax
- (903) 510-8806
- NPI assigned
- Feb 14, 2006
- Last updated
- May 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | E7110 | TX | Primary |
Addresses
Primary practice location
520 Douglas Blvd
Tyler, TX 75702-8307
Mailing address
PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TIN PLUS 113 | Other | TX | TRICARE |
| 144650205 | Medicaid | TX | |
| 144650201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Imaging Associates, LLP | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- rhandley8100@christushealth.direct-ci.net
Organizations & group practices 1
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.
-
- Body Imaging Physician
- Bossier City, LA
- NPI 1265410583
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1447224647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5500",
"city": "TYLER",
"state": "TX",
"postal_code": "757125500",
"telephone_number": "903-324-6450",
"fax_number": "903-593-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 DOUGLAS BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757028307",
"telephone_number": "903-510-1175",
"fax_number": "903-510-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLEY",
"first_name": "RICHARD",
"middle_name": "DWIGHT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "E7110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS 113",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144650205",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144650201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.