Organization Active NPI

USA Radiology Management Solutions LLC

  • Diagnostic Radiology Physician
  • Rolla, MO
National Provider Identifier
1689091076
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
USA RADIOLOGY MANAGEMENT SOLUTIONS LLC
Practice address
603 S Bishop Ave
Rolla, MO 65401-4314
Phone
(573) 426-4411
Fax
(314) 821-1833
NPI assigned
Mar 24, 2014
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Patrick Barron
Title
Ceo
Phone
(314) 238-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

603 S Bishop Ave
Rolla, MO 65401-4314

Mailing address

PO Box 2153 Dept 30755
Birmingham, AL 35287-9283
Phone (314) 770-2133

Other practice location 1

1415 Elbridge Payne Rd Ste 120
Chesterfield, MO 63017-8522
Phone (314) 238-5260

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 3

17651 Highway B
Boonville, MO 65233-2839
Phone (314) 238-5260

Other practice location 4

35629 Highway 72
Salem, MO 65560-7217
Phone (573) 729-6626

Other practice location 5

3933 S Broadway
Saint Louis, MO 63118-4601
Phone (314) 865-7000

Other practice location 6

1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311

Other practice location 7

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410

Other practice location 8

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

Other practice location 9

1801 N Jackson St
Tullahoma, TN 37388-8259
Phone (931) 393-3000

Other practice location 10

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

Other practice location 11

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Other practice location 12

326 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200

Other practice location 13

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 666-2147

Other practice location 14

946 E Reed St
Hayti, MO 63851-1243
Phone (573) 359-1372

Other practice location 15

1000 Gw Ln Ste 150
Waynesville, MO 65583-2339
Phone (573) 842-4116

Other practice location 16

35629 Highway 72
Salem, MO 65560-7217
Phone (573) 729-6626

Other practice location 17

3933 S Broadway
Saint Louis, MO 63118-4601
Phone (314) 865-7000

Other practice location 18

1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311

Other identifiers 2

IdentifierTypeStateIssuer
Q035125MedicaidTN
DV4933OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO, TN, IL, MD, IN, CO, FL, TX, NC, CA, DC, MA13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20140819001004 VA Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 6 practitioners
Practice locations: South Hill, VA; Virginia Beach, VA
O20141024001746 MO Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 35 practitioners
Practice locations: Saint Louis, MO; Salem, MO; St Louis, MO; Sweet Springs, MO; Webster Groves, MO; Wildwood, MO; Hayti, MO; Ballwin, MO…
O20180907001110 TN Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 4 practitioners
Practice locations: Paris, TN; Union City, TN; Tullahoma, TN; Ripley, TN; Lafayette, TN; Dyersburg, TN
O20191014001090 IL Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL; Oak Brook, IL; Naperville, IL
O20191127000133 MD Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD
O20191205002133 IN Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 2 practitioners
Practice locations: Avon, IN
O20200602002268 CO Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, CO
O20200722000115 FL Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL
O20220514000051 TX Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 2 practitioners
Practice locations: Spring, TX
O20240315000315 NC Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC
O20240606001793 CA Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20241126001430 DC Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20250204001539 MA Part B Supplier - Clinic/Group Practice 3577780337 Receives reassigned benefits from 1 practitioner
Practice locations: Andover, MA

National Provider Directory

National Provider Directory

Locations

502 Earth City Plz
Ste 121
Earth City, MO 63045

10820 Sunset Office Dr
Ste 300
Saint Louis, MO 63127

1000 Gw Ln
Ste 150
Waynesville, MO 65583
Phone (573) 842-4116

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1689091076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 30755",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879283",
            "telephone_number": "314-770-2133",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014314",
            "telephone_number": "573-426-4411",
            "fax_number": "314-821-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Elbridge Payne Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630178522",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "636-519-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17651 Highway B",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "MO",
            "postal_code": "652332839",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35629 Highway 72",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655607217",
            "country_code": "US",
            "telephone_number": "573-729-6626",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3933 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631184601",
            "country_code": "US",
            "telephone_number": "314-865-7000",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-3311",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Tickle St",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380243120",
            "country_code": "US",
            "telephone_number": "731-285-2410",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615403",
            "country_code": "US",
            "telephone_number": "731-885-2410",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373888259",
            "country_code": "US",
            "telephone_number": "931-393-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Centre Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052862",
            "country_code": "US",
            "telephone_number": "731-512-0104",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Tyson Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424544",
            "country_code": "US",
            "telephone_number": "731-642-1220",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Asbury Ave",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "TN",
            "postal_code": "380635577",
            "country_code": "US",
            "telephone_number": "731-221-2200",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831719",
            "country_code": "US",
            "telephone_number": "615-666-2147",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "946 E Reed St",
            "address_purpose": "LOCATION",
            "city": "Hayti",
            "state": "MO",
            "postal_code": "638511243",
            "country_code": "US",
            "telephone_number": "573-359-1372",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Gw Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832339",
            "country_code": "US",
            "telephone_number": "573-842-4116",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35629 Highway 72",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655607217",
            "country_code": "US",
            "telephone_number": "573-729-6626",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3933 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631184601",
            "country_code": "US",
            "telephone_number": "314-865-7000",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832046",
            "country_code": "US",
            "telephone_number": "417-967-3311",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA RADIOLOGY MANAGEMENT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-238-5260"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035125",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DV4933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.