NPIMap

Organization Active NPI

Radiologic Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1700802154
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGIC CENTER INC
Practice address
8303 Dodge St
Omaha, NE 68114-4108
Phone
(402) 290-4929
Fax
(402) 354-4515
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dr. Richard Alan Kutilek, MDNPI 1578581914
Title
President
Phone
(402) 290-4929

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

8303 Dodge St
Omaha, NE 68114-4108

Mailing address

7701 Pacific St Ste 117
Omaha, NE 68114-5480
Phone (402) 238-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SC, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050117000493 NE Part B Supplier - Clinic/Group Practice 1759330731 Receives reassigned benefits from 25 practitioners
Practice locations: Omaha, NE; Papillion, NE; Springfield, NE; Valley, NE; Elkhorn, NE; Waterloo, NE; Ashland, NE; Gretna, NE…
O20230822002409 SC Part B Supplier - Clinic/Group Practice 1759330731 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Island, SC
O20251120001976 IA Part B Supplier - Clinic/Group Practice 1759330731 Receives reassigned benefits from 2 practitioners
Practice locations: Carter Lake, IA; Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

8019 Cass St
Omaha, NE 68114
Phone (402) 354-1250

10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500

17675 Welch Plz
Omaha, NE 68135
Phone (402) 354-7600

7701 Pacific St
Ste 117
Omaha, NE 68114

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

7831 Wakeley Plz
Omaha, NE 68114
Phone (402) 397-6344

1120 N 103rd Plz
Omaha, NE 68114
Phone (402) 354-0400

625 S Pine St
Valley, NE 68064
Phone (402) 359-2277

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1700802154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC ST STE 117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-238-1539",
            "fax_number": "855-899-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-290-4929",
            "fax_number": "402-354-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "KUTILEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-290-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.