Organization Active NPI

Louisville Radiology Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Owensboro, KY
National Provider Identifier
1639115447
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LOUISVILLE RADIOLOGY IMAGING CONSULTANTS, PLLC
Practice address
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone
(708) 915-5671
NPI assigned
Jun 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen Marie Vaughn
Title
Authorized Official
Phone
(629) 317-1465

Practitioners 397

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

View all 397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA, MA, IL, TN, OR, PA, FL, CO, OH, MI, DC, CA, HI, AZ, RI, SC, WV, TX, MT, MO, NV, AL, OK, MD, KS, MN, CT, VA, WA, NC, NH, WI, NY, DE35 enrollments

Medicare enrollment records 35

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060907000081 KY Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 68 practitioners
Practice locations: Mayfield, KY; Owensboro, KY; Murray, KY; Nicholasville, KY; Paris, KY; Prospect, KY; Providence, KY; Russellville, KY…
O20130321000039 GA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 17 practitioners
Practice locations: Columbus, GA; Fayetteville, GA; Helen, GA; McDonough, GA; Atlanta, GA; Milton, GA; Pooler, GA; Roswell, GA…
O20130411000254 MA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 5 practitioners
Practice locations: Weston, MA; Wayland, MA; Plymouth, MA; Newton, MA; Norwood, MA; Hingham, MA
O20130517000055 IL Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 23 practitioners
Practice locations: Streator, IL; Oak Lawn, IL; Oak Brook, IL; Chicago, IL; Lincolnwood, IL; Hinsdale, IL; Highland Park, IL; Clarendon Hills, IL…
O20140303000190 TN Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 14 practitioners
Practice locations: Knoxville, TN; Nolensville, TN; Nashville, TN; Murfressboro, TN; Murfreesboro, TN; Antioch, TN; Brentwood, TN; Clarksville, TN…
O20140813000681 OR Part B Supplier - Clinic/Group Practice 2264436120 Practice locations: Bend, OR
O20150806010621 PA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 7 practitioners
Practice locations: Gibsonia, PA; Maple Glen, PA; Millersville, PA; Oil City, PA; Pittsburgh, PA; Wynnewood, PA
O20180816000893 FL Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 34 practitioners
Practice locations: St Petersburg, FL; Naples, FL; Oakland Park, FL; Odessa, FL; Orlando, FL; Seminole, FL; St Pete Beach, FL; Boca Raton, FL…
O20190311000158 CO Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 11 practitioners
Practice locations: Grand Junction, CO; Palmer Lake, CO; Pagosa Springs, CO; Littleton, CO; Fort Collins, CO; Denver, CO; Colorado Springs, CO; Carbondale, CO…
O20190312003110 OH Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 6 practitioners
Practice locations: Cleveland, OH; Westlake, OH; West Chester, OH; South Euclid, OH; Powell, OH; Cincinnati, OH
O20190320000830 MI Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomfield Hills, MI; Marquette, MI; Niles, MI; Rochester Hills, MI
O20190502000456 DC Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 4 practitioners
Practice locations: Bethesda, MD; MC Lean, VA; Washington, DC
O20190506000105 CA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 20 practitioners
Practice locations: Palm Springs, CA; San Clemente, CA; San Diego, CA; San Francisco, CA; San Jose, CA; San Ramon, CA; Studio City, CA; Laguna Niguel, CA…
O20190606001230 HI Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 3 practitioners
Practice locations: Captain Cook, HI; Honolulu, HI
O20200127001363 AZ Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 11 practitioners
Practice locations: Scottsdale, AZ; Paradise Valley, AZ; Phoenix, AZ
O20200219001113 RI Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI
O20200219001670 SC Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 4 practitioners
Practice locations: Charleston, SC; Daniel Island, SC; Hilton Head Island, SC; North Augusta, SC; Spartanburg, SC
O20200305001929 WV Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 17 practitioners
Practice locations: Winfield, WV; Charleston, WV; Scott Depot, WV; Milton, WV; Beckley, WV
O20200312001660 TX Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 40 practitioners
O20200313000417 MT Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT
O20200323000357 MO Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20200328000008 NV Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 5 practitioners
Practice locations: Henderson, NV; Las Vegas, NV
O20200727000959 AL Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 2 practitioners
Practice locations: Vestavia, AL; Birmingham, AL; Madison, AL
O20200817002075 OK Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK
O20201201002959 MD Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 4 practitioners
Practice locations: Fulton, MD; Pikesville, MD; Forest Hill, MD
O20210219002160 KS Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 2 practitioners
Practice locations: Leawood, KS; Manhattan, KS
O20210302002010 MN Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 2 practitioners
Practice locations: Minnetrista, MN; Rochester, MN
O20221128002031 CT Part B Supplier - Clinic/Group Practice 2264436120 Practice locations: New Haven, CT
O20230516001972 VA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 5 practitioners
Practice locations: Winchester, VA; Roanoke, VA; Moseley, VA; MC Lean, VA; Big Stone Gap, VA
O20230927003012 WA Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 3 practitioners
Practice locations: Tacoma, WA; University Place, WA
O20240108000971 NC Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 7 practitioners
Practice locations: Winston Salem, NC; Southport, NC; Littleton, NC; Highlands, NC; Haw River, NC; High Point, NC; Cary, NC; Charlotte, NC
O20240401000584 NH Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, NH; Lee, NH
O20240417001608 WI Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 3 practitioners
Practice locations: Appleton, WI; Milwaukee, WI; Woodruff, WI
O20250918002687 NY Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 2 practitioners
Practice locations: Menands, NY; New Paltz, NY
O20260227002062 DE Part B Supplier - Clinic/Group Practice 2264436120 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

2655 S Le Jeune Rd
Fl 3
Coral Gables, FL 33134

100 Beach Dr NE
St Petersburg, FL 33701

75 Remittance Dr
Dept 1013
Chicago, IL 60675

1937 Momentum Pl
Chicago, IL 60689

71 W 156th St
Ste 110
Harvey, IL 60426
Phone (708) 915-5598

4545 W 103rd St
Oak Lawn, IL 60453
Phone (708) 684-1000

105 Prather Path
Ste 1100
Georgetown, KY 40324
Phone (502) 603-5220

105 Prather Path
Ste 110
Georgetown, KY 40324

501 Darby Creek Rd
Lexington, KY 40509
Phone (859) 227-2337

800 Hospital Dr
Fl 1
Madisonville, KY 42431
Phone (270) 326-3800

800 Hospital Dr
#2
Madisonville, KY 42431

75 Hospital Dr
Winchester, KY 40391

950 Kanawha Blvd E
Ste 4
Charleston, WV 25301

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

NPPES NPI Registry

Primary practice location

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Mailing address

PO Box 208787
Dallas, TX 75320-8787
Phone (270) 417-6126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2026.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1639115447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208787",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208787",
            "telephone_number": "270-417-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "708-915-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE RADIOLOGY IMAGING CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.