Active NPI
Diagnostic Image Plus
- Diagnostic Radiology Physician
- Mesquite, TX
National Provider Identifier
1689781130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DIAGNOSTIC IMAGE PLUS
- Practice address
- 3022 Motley Dr
Mesquite, TX 75150-3440 - Phone
- (972) 613-0555
- Fax
- (972) 613-0546
- NPI assigned
- Aug 23, 2006
- Last updated
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Varghese Raju, M.A,.B.ED
- Title
- Operations Director
- Phone
- (972) 613-0555
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | TX | ||
| Radiologic Technologist | 247100000X | TX | ||
| Bone Densitometry Radiologic Technologist | 2471B0102X | NU | ||
| Radiography Radiologic Technologist | 2471C3402X | NU | ||
| Sonography Radiologic Technologist | 2471S1302X | TX | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X | TX |
Addresses
Primary practice location
3022 Motley Dr
Mesquite, TX 75150-3440
Mailing address
3022 Motley Dr
Mesquite, TX 75150-3440
Phone (972) 613-0555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1783243-02 | Medicaid | TX | |
| FTXVCU1 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927000926 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8527093756 | Practice locations: Mesquite, TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Mesquite, TX
- NPI 1649337965
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Mesquite, TX
- NPI 1649337965
Member Of
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Vascular & Interventional Radiology Physician
- Garland, TX
- NPI 1376854752
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Roanoke, VA
- NPI 1992768147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1689781130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 MOTLEY DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503440",
"telephone_number": "972-613-0555",
"fax_number": "972-613-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 MOTLEY DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503440",
"telephone_number": "972-613-0555",
"fax_number": "972-613-0546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC IMAGE PLUS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "RAJU",
"authorized_official_first_name": "VARGHESE",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "972-613-0555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A,.B.ED"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2471B0102X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1783243-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "FTXVCU1",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
- DFW Dental Capital PC (Galloway Dental)
- DFW Injury Clinic
- DFW Oral and Maxillofacial Surgery Mesquite, LLC
- DFW Signature Services (The Safe Space Co.)
- Diagnostic Evaluation Centers of America
- Leslie Diaz
- Tania I Diaz, M.D.
- Dickerson Dallas Pain on PA
- Dickerson Dallas Pain on PA
- Dickerson Dallas Pain on PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.