Organization Active NPI

Diagnostic Imaging Centers, P.a.

  • Radiology Clinic/Center
  • Kansas City, MO
National Provider Identifier
1497828222
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIAGNOSTIC IMAGING CENTERS, P.A.
Practice address
4801 Main St Ste 200
Kansas City, MO 64112-2582
Phone
(816) 561-5151
Fax
(816) 841-0373
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Jennifer Crawley, MD
Title
President
Phone
(913) 319-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X MO Primary

Addresses

Primary practice location

4801 Main St Ste 200
Kansas City, MO 64112-2582

Mailing address

6650 W 110TH St
Suite 200
Overland Park, KS 66211
Phone (913) 319-8400

Other practice location 1

6650 W 110th St
Suite 100
Overland Park, KS 66211
Phone (913) 491-9299

Other identifiers 1

IdentifierTypeStateIssuer
CI3618OtherMORAILROAD MEDICARE- GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040924000747 MO Part B Supplier - Clinic/Group Practice 7416926613 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
Practice locations: Kansas City, MO; Saint Joseph, MO; Lees Summit, MO; Independence, MO
O20251122000721 FL Part B Supplier - Clinic/Group Practice 7416926613 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Apollo Beach, FL; Vero Beach, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Imaging Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4911 S Arrowhead Dr
Ste 100
Independence, MO 64055
Phone (816) 444-9989

303 NE Englewood Rd
Kansas City, MO 64118
Phone (816) 444-9989

4801 Main St
Ste 200
Kansas City, MO 64112
Phone (816) 444-9989

5500 N Oak Trfy
Ste 101
Kansas City, MO 64118
Phone (816) 452-4674

3937 Sherman Ave
Ste A
Saint Joseph, MO 64506
Phone (816) 676-0625

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1497828222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-319-8400",
            "fax_number": "913-696-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MAIN ST STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122582",
            "telephone_number": "816-561-5151",
            "fax_number": "816-841-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 W 110th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66211",
            "country_code": "US",
            "telephone_number": "913-491-9299",
            "fax_number": "913-491-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING CENTERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "CRAWLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-319-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- GROUP",
            "identifier": "CI3618",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.