Organization Active NPI

Spirit Imaging Center LLC

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1700597481
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SPIRIT IMAGING CENTER LLC
Practice address
501 Silverside Rd Ste 135
Wilmington, DE 19809-1377
Phone
(302) 448-8698
Fax
(302) 397-2828
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Richard Tyas
Title
Administrator
Phone
(302) 448-8698

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X

Addresses

Primary practice location

501 Silverside Rd Ste 135
Wilmington, DE 19809-1377

Mailing address

501 Silverside Rd Ste 135
Wilmington, DE 19809-1377
Phone (302) 448-8698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230517003140 DE Part B Supplier - Clinic/Group Practice 1355707373 Receives reassigned benefits from 5 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

501 Silverside Rd
Ste 135
Wilmington, DE 19809
Phone (302) 448-8698

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1700597481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 135",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091377",
            "telephone_number": "302-448-8698",
            "fax_number": "302-269-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 135",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091377",
            "telephone_number": "302-448-8698",
            "fax_number": "302-397-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-04-05",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "TYAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-448-8698"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.