NPIMap

Organization Active NPI

Medical Xray Consultants, LTD

Doing business as MXC Neurosurgical Services

  • Neurological Surgery Physician
  • Alexandria, MN
National Provider Identifier
1679838023
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
45030-20 Issued in WI
Legal business name
MEDICAL XRAY CONSULTANTS, LTD
Doing business as
MXC Neurosurgical Services
Practice address
111 17TH Ave E
Alexandria, MN 56308-5273
Phone
(715) 295-9431
NPI assigned
Jul 11, 2012
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL XRAY CONSULTANTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 45030-20 WI Primary

Addresses

Primary practice location

111 17TH Ave E
Alexandria, MN 56308-5273

Mailing address

PO Box 208962
Dallas, TX 75320-8962
Phone (715) 832-2200

Other names 1

  • MXC Neurosurgical Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000614 WI Part B Supplier - Clinic/Group Practice 3274447313 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Medical Xray Consultant

Locations

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1679838023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208962",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208962",
            "telephone_number": "715-832-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085273",
            "telephone_number": "715-295-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL XRAY CONSULTANTS, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL XRAY CONSULTANTS",
        "enumeration_date": "2012-07-11",
        "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": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "45030-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MXC Neurosurgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MXC Neurosurgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, MN

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.