The Radiology Clinic LLC
Organization Active NPI Diagnostic Radiology Physician · Tuscaloosa, AL
NPI 1649235243 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1649235243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- THE RADIOLOGY CLINIC LLC
- Practice address
- 208 McFarland Cir N
Tuscaloosa, AL 35406-1800 - Phone
- (205) 345-7000
- Fax
- (205) 343-6700
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
Authorized official
- Name
- James E Leitner, CEO
- Title
- Chief Executive Officer
- Phone
- (205) 343-0900
Practitioners 165
-
Jason R Bearden, MD
-
Hugh M Borak, MD
-
Robert D Hamiter, MD
-
Howard C Holley, MD
-
Justin Hutto, MD
-
Robert David Kachelhofer, M.D.
-
Sandra B Martin, MD
-
Mathew M Merritt, MD
-
Russell A Scholl, MD
-
Brandon Schwartz, M.D.
-
David R Shulman, MD
-
David N Simmons, M.D.
-
David A Smith, MD
-
Cyrus Anderson, MD
-
Xiao Bi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (15 enrollments) in AL, SC, OK, TX, FL, AZ, IA, CA, MI, NV, OR, CO, TN, IL, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115001126 | AL | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 27 practitioners Practice locations: Trussville, AL; Tuscaloosa, AL; Winfield, AL; Hoover, AL; Gadsden, AL; Fayette, AL; Demopolis, AL; Carrollton, AL… |
| O20240920001287 | SC | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Blythewood, SC |
| O20250210003318 | OK | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 2 practitioners Practice locations: Oklahoma City, OK; Ramona, OK |
| O20250211001764 | TX | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 6 practitioners Practice locations: Fulshear, TX; Houston, TX; Dallas, TX; Austin, TX |
| O20250214003173 | FL | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 7 practitioners Practice locations: Windermere, FL; Palmetto Bay, FL; Orlando, FL; Newberry, FL; Naples, FL; Lutz, FL; Odessa, FL |
| O20250226000485 | AZ | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 4 practitioners Practice locations: Phoenix, AZ; Prescott, AZ; Scottsdale, AZ |
| O20250226002041 | IA | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 3 practitioners Practice locations: Asbury, IA; Dubuque, IA |
| O20250226002331 | CA | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 2 practitioners Practice locations: Culver City, CA; La Jolla, CA |
| O20250305001243 | MI | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Orchard Lake, MI |
| O20250813001584 | NV | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20250827001977 | OR | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Bend, OR |
| O20251030005377 | CO | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Colorado Springs, CO |
| O20251215000861 | TN | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Nolensville, TN |
| O20260202003028 | IL | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Poplar Grove, IL |
| O20260213003398 | DC | Part B Supplier - Clinic/Group Practice | 0941101653 |
Receives reassigned benefits from 1 practitioner Practice locations: Bethesda, MD |
National Provider Directory
Locations
241 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2408
150 US Hwy 80 E Ste 215
Demopolis, AL 36732
4401 Watermelon Rd
Northport, AL 35473
Phone (205) 343-2811
100 Rice Mine Rd N
Ste 301
Tuscaloosa, AL 35406
400 Paul W Bryant Dr E
Tuscaloosa, AL 35401
Phone (205) 345-2627
208 McFarland Cir N
Ste 100
Tuscaloosa, AL 35406
750 Peter Bryce Blvd
Tuscaloosa, AL 35401
Phone (205) 348-6262
1700 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 553-4550
100 Rice Mine Rd N
Ste 206
Tuscaloosa, AL 35406
544 Tahoe Rd
Winfield, AL 35594
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
208 McFarland Cir N
Tuscaloosa, AL 35406-1800
Mailing address
208 McFarland Cir N
Tuscaloosa, AL 35406-1800
Phone (205) 345-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060017 | Medicaid | AL |
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- The Project of Safe Haven
- The University of Alabama Psychology Clinic
- The Wellness Center of Tuscaloosa
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- Therapy South Tuscaloosa LLC
All providers in Tuscaloosa, AL · Diagnostic Radiology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.