Diagnostic X-Ray Physicians, PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIAGNOSTIC X-RAY PHYSICIANS, PSC

Practice address

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Phone

(502) 447-8786

Fax

(502) 447-8623

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Daren D. Repishti, MDNPI 1174501076

Title

President

Phone

(502) 447-8786

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, IN, TN, TX, OH, CA6 enrollments

Enrollment records 6

Locations

Practitioners 49

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

• Daren D Repishti, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1174501076

  IN, KY

  Medicare reassignment Care Compare group Authorized official
• Jason N. Bronfman, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1235117144

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Wesley Nathan Bryson, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1609255546

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• John Nevins Burkett, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1558454249

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Eleni Maria Collett, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1689105199

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Collin Gamble

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1689102071

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Brian T. Gordon, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1235662180

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Katrina L Hagan, A.P.R.N.

  • Acute Care Nurse Practitioner
  • Louisville, KY
  • NPI 1609216134

  IN, KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Michael Emerson Hogan, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1104183235

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Robert Liles Hooker, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1508913468

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Kamal J. Khiani, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1275567315

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD
• Katrina Fern Lambert, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1457671281

  Diagnostic Radiology, IN, KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1619954138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 TAYLORSVILLE RD # 276",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991752",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074714",
            "country_code": "US",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC X-RAY PHYSICIANS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "REPISHTI",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-447-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC0216",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65919011",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.