NPIMap

Organization Active NPI

Prescott Radiologists LLP

Doing business as Prescott Imaging Center

  • Specialist
  • Prescott, AZ
National Provider Identifier
1689636243
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRESCOTT RADIOLOGISTS LLP
Doing business as
Prescott Imaging Center
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(928) 778-1971
Fax
(982) 771-5733
NPI assigned
Apr 6, 2006
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Dr. Michael J Dangelo, MDNPI 1669468526
Title
Medical Director
Phone
(928) 778-1971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 678308
Dallas, TX 75267-8308
Phone (928) 445-2700

Other names 1

  • Prescott Imaging Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ Other Management Services Network, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040623001105 AZ Part B Supplier - Clinic/Group Practice 4082699947 Receives reassigned benefits from 10 practitioners
Practice locations: Prescott, AZ; Prescott Valley, AZ; Scottsdale, AZ; Chandler, AZ; Mesa, AZ; Gilbert, AZ; Glendale, AZ
O20250714003611 TX Part B Supplier - Clinic/Group Practice 4082699947 Receives reassigned benefits from 2 practitioners
Practice locations: Addison, TX; Lubbock, TX
O20251002000274 SC Part B Supplier - Clinic/Group Practice 4082699947 Receives reassigned benefits from 1 practitioner
Practice locations: Folly Beach, SC

National Provider Directory

National Provider Directory

Locations

1710 N 159th Ave
Goodyear, AZ 85395
Phone (623) 312-3020

1000 Ainsworth Dr
Ste 115
Prescott, AZ 86305
Phone (928) 778-1971

1000 Ainsworth Dr
Ste 215
Prescott, AZ 86305

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1689636243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678308",
            "telephone_number": "928-445-2700",
            "fax_number": "800-656-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-778-1971",
            "fax_number": "982-771-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT RADIOLOGISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "DANGELO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "928-778-1971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1036.1",
            "affiliationName": "Management Services Network, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2357 Warm Springs Rd Ste 400",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319046874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prescott Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.