Active NPI
Andrea Lynn Lundell, M.D,
- Diagnostic Radiology Physician
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- L1118
- Practice address
- 105 Liberty LN
Rockwall, TX 75032-8462 - Phone
- (972) 722-3766
- NPI assigned
- Mar 31, 2006
- Last updated
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | L1118 | TX | |
| Neuroradiology Physician | 2085N0700X | L1118 | TX | |
| Nuclear Radiology Physician | 2085N0904X | L1118 | TX | |
| Pediatric Radiology Physician | 2085P0229X | L1118 | TX | |
| Therapeutic Radiology Physician | 2085R0203X | L1118 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | L1118 | TX | |
| Radiological Physics Physician | 2085R0205X | L1118 | TX | |
| Diagnostic Ultrasound Physician | 2085U0001X | L1118 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | L1118 | TX | Primary |
Addresses
Primary practice location
105 Liberty LN
Rockwall, TX 75032-8462
Mailing address
105 Liberty LN
Rockwall, TX 75032-8462
Phone (972) 722-3766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1118 | TX | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Open Air Imaging Center, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Blue Stone JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| University Radiology Network Inc | Diagnostic Radiology | Past | Accepting new patients |
| Elizabeth a Jekot MD PA | Body Imaging | Past | Accepting new patients |
| Medical Center Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352
7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480
Organizations & group practices 26
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.
-
- Radiology Clinic/Center
- Amarillo, TX
- NPI 1609982131
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Diagnostic Radiology Physician
- Amarillo, TX
- NPI 1205897360
-
dba Touchstone Imaging Las Colinas
- Physiological Laboratory
- Irving, TX
- NPI 1811357114
-
dba Touchstone Imaging Fossil Creek
- Physiological Laboratory
- Fort Worth, TX
- NPI 1154769503
-
dba Touchstone Imaging Arlington Breast Center
- Physiological Laboratory
- Arlington, TX
- NPI 1326518341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1619938354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LIBERTY LN",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328462",
"telephone_number": "972-722-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 LIBERTY LN",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328462",
"telephone_number": "972-722-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDELL",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": "L1118",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.