Organization Active NPI

Columbus Radiology Physicians LLC

  • Diagnostic Radiology Physician
  • Columbus, IN
National Provider Identifier
1467964718
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLUMBUS RADIOLOGY PHYSICIANS LLC
Practice address
2400 E. 17TH Street
Columbus, IN 47201
Phone
(800) 841-4938
NPI assigned
Oct 26, 2017
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Randy Fischer
Title
Ceo
Phone
(317) 379-0212

Specialties & licenses 1

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

Addresses

Primary practice location

2400 E. 17TH Street
Columbus, IN 47201

Mailing address

PO Box 3406
Evansville, IN 47733-3406
Phone (812) 759-8271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MN, WI, NH, NY, CO, TX, FL, MI, OH, PA, ID, UT, WA, CA, HI, KS, AL, SC, CT, DC, GA, OR, LA, MA, VA, MS, MD, NV, SD31 enrollments

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
O20180201002043 IN Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 13 practitioners
Practice locations: Columbus, IN
O20190725003662 IL Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Glenview, IL; O Fallon, IL; Oak Brook, IL; Roselle, IL; South Barrington, IL
O20190726002617 MN Part B Supplier - Clinic/Group Practice 3971863416 Practice locations: Maple Grove, MN
O20190730002946 WI Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Beloit, WI; Brookfield, WI
O20190801001781 NH Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 2 practitioners
Practice locations: Lebanon, NH; Wolfeboro, NH
O20190801002750 NY Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 2 practitioners
Practice locations: Getzville, NY; New York, NY
O20190807000099 CO Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 9 practitioners
Practice locations: Colorado Springs, CO; Denver, CO; Longmont, CO; Pagosa Springs, CO; Parker, CO; Steamboat Springs, CO; Centennial, CO
O20190807000994 TX Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX; Vidor, TX; Spicewood, TX; Houston, TX; Dripping Springs, TX
O20190808001829 FL Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Melbourne Beach, FL; North Miami Beach, FL; Palm City, FL; Sarasota, FL; Wellington, FL
O20190812000636 MI Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: West Bloomfield, MI; Northville, MI; Grand Blanc, MI
O20190814002183 OH Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 16 practitioners
Practice locations: Cincinnati, OH; Granville, OH; New Albany, OH; Olmsted TWP, OH; Westlake, OH
O20190816000600 PA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Doylestown, PA; Huntingdon, PA; Paoli, PA; Venetia, PA
O20190819001670 ID Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Worley, ID; Coeur D Alene, ID; Pocatello, ID; Blackfoot, ID
O20190819001855 UT Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 3 practitioners
Practice locations: Sandy, UT; St George, UT
O20190819001958 WA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Bellevue, WA; Liberty Lake, WA; Seattle, WA; Woodinville, WA
O20190819003164 CA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 5 practitioners
Practice locations: Santa Barbara, CA; San Diego, CA; Playa Vista, CA; Huntington Beach, CA; Irvine, CA
O20190822000171 HI Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Kailua, HI
O20190823000491 KS Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 4 practitioners
Practice locations: Wichita, KS; Topeka, KS; Overland Park, KS; Hays, KS
O20190823001469 AL Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL
O20190830000565 SC Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC; Sullivans Island, SC
O20190923002683 CT Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, CT
O20191004002602 DC Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 2 practitioners
Practice locations: Great Falls, VA; MC Lean, VA
O20191010003281 GA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, GA; Macon, GA
O20200327002656 OR Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 2 practitioners
Practice locations: La Grande, OR; Salem, OR
O20200520002945 LA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA
O20210527001438 MA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Weymouth, MA
O20210817000993 VA Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Allen, VA; Leesburg, VA; Middleburg, VA
O20230126001895 MS Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS
O20230126003156 MD Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD; Columbia, MD
O20231117002114 NV Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20251218001604 SD Part B Supplier - Clinic/Group Practice 3971863416 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 100

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 100

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1467964718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3406",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333406",
            "telephone_number": "812-759-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E. 17TH STREET",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "47201",
            "telephone_number": "800-841-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS RADIOLOGY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-379-0212"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.