Individual provider Active NPI

Grady D Yoder, MD

  • Vascular & Interventional Radiology Physician
  • Abilene, TX
National Provider Identifier
1497860605
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
M3432 Issued in TX
Practice address
401 Cypress
#110
Abilene, TX 79601-5122
Phone
(325) 677-2201
Fax
(325) 677-7641
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M3432 TX
Diagnostic Radiology Physician 2085R0202X M3432 TX
Vascular & Interventional Radiology Physician 2085R0204X M3432 TX Primary

Addresses

Primary practice location

401 Cypress
#110
Abilene, TX 79601-5122

Mailing address

PO Box 2898
Abilene, TX 79604-2898
Phone (325) 677-2201

Other identifiers 3

IdentifierTypeStateIssuer
183928404MedicaidTX
279407100MedicaidFL
183928401MedicaidTX

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
I20070221000316 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2264412618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Abilene PAGroup PAC ID 1759287055, 25 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
33.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3432TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Abilene PA Diagnostic Radiology CurrentSince Oct 1, 2009 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Radiology Consultants of Nacogdoches LLP Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Mid South Radiology Partners, LLC Diagnostic Radiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Radiology & Imaging of South Texas,LLP Diagnostic Radiology Past Accepting new patients
Dialysis Access Center, LLP PastSince Oct 30, 2022 Accepting new patients
US Radiology Partners of Louisiana, Inc. Diagnostic Radiology Past Accepting new patients

Locations

750 N 18th St
Abilene, TX 79601
Phone (325) 437-0560

401 Cypress St
Ste 110
Abilene, TX 79601
Phone (915) 677-2201

4400 Buffalo Gap Rd
Ste 2600
Abilene, TX 79606

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Organizations & group practices 8

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

Hospital & facility affiliations 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1497860605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2898",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796042898",
            "telephone_number": "325-677-2201",
            "fax_number": "325-677-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CYPRESS",
            "address_2": "#110",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015122",
            "telephone_number": "325-677-2201",
            "fax_number": "325-677-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "GRADY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M3432",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M3432",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "M3432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183928404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279407100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183928401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.