Organization Active NPI

Radiology Associates of Murray, PLLC

  • Diagnostic Radiology Physician
  • Murray, KY
National Provider Identifier
1497789523
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF MURRAY, PLLC
Practice address
Murray Calloway County Hospital
803 Poplar St
Murray, KY 42071
Phone
(270) 762-1100
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Casey Hines, MD
Title
President
Phone
(270) 293-2448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

Murray Calloway County Hospital
803 Poplar St
Murray, KY 42071

Mailing address

PO Box 896126
Charlotte, NC 28289-6126
Phone (859) 368-9105

Other identifiers 1

IdentifierTypeStateIssuer
65904021MedicaidKY

Other names 1

  • Radiology Associates of Murray Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ, NY, CA, FL, GA, IL, VA8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20050527000440 KY Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 3 practitioners
Practice locations: Benton, KY; Murray, KY; Lexington, KY
O20241206003476 NJ Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ
O20241211000490 NY Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, NY; New York, NY
O20241219000458 CA Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA
O20241227001136 FL Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 3 practitioners
Practice locations: Coral Springs, FL; Melbourne, FL; Palm City, FL
O20250113001649 GA Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 1 practitioner
Practice locations: Tybee Island, GA
O20250123001090 IL Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL
O20250211000693 VA Part B Supplier - Clinic/Group Practice 6608818828 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

299 Kings Daughters Dr
Ste 2000
Frankfort, KY 40601

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1497789523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896126",
            "telephone_number": "859-368-9105",
            "fax_number": "916-533-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MURRAY CALLOWAY COUNTY HOSPITAL",
            "address_2": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-762-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF MURRAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-293-2448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65904021",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Associates of Murray",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.