Organization Active NPI

Ara/St. David's Imaging, LP

  • Radiology Clinic/Center
  • Round Rock, TX
National Provider Identifier
1720065170
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R28983 Issued in TX
Legal business name
ARA/ST. DAVID'S IMAGING, LP
Practice address
2120 N Mays St
Suite 220
Round Rock, TX 78664-2192
Phone
(512) 238-7195
Fax
(512) 218-6558
NPI assigned
Dec 28, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Sharlee Lebleu
Title
Vice President
Phone
(480) 321-7026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R28983 TX Primary
Mobile Radiology Clinic/Center 261QR0208X NU

Addresses

Primary practice location

2120 N Mays St
Suite 220
Round Rock, TX 78664-2192

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other practice location 1

4423 Wayland Dr
Nashville, TN 37215-4023
Phone (512) 795-5100

Other identifiers 2

IdentifierTypeStateIssuer
170887702MedicaidTX
P00198399OtherTXRAILROAD MEDICARE

Other names 1

  • ARA Imaging Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, DC, NY, NC, CA, NV, CO, FL, IL, MN, SC, UT, WA, NH, RI, MO, GA18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20050302000371 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8426001496 1 other NPI on this enrollment
Practice locations: Round Rock, TX
O20240327001626 TN Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Nashville, TN; Winchester, TN; Franklin, TN
O20240618002749 DC Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Bethesda, MD
O20240624001903 NY Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: New Paltz, NY
O20240719000027 NC Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Durham, NC
O20240802003386 CA Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
Practice locations: Portola Valley, CA; Santa Monica, CA; Santa Barbara, CA; San Diego, CA; Los Angeles, CA; Laguna Beach, CA; Folsom, CA; Danville, CA…
O20240815004142 NV Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Henderson, NV; Incline Village, NV
O20240820002344 CO Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
Practice locations: Boulder, CO; Castle Rock, CO; Mountain Village, CO; Steamboat Springs, CO
O20241002001796 FL Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
Practice locations: Fort Lauderdale, FL; Fort Myers, FL; Miami, FL; North Bay Village, FL; Oakland Park, FL; Orlando, FL; Tampa, FL
O20241218001049 IL Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL
O20250707001999 MN Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Rochester, MN
O20250824000092 SC Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Charleston, SC
O20250904004934 UT Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Mayflower MNT, UT; Salt Lake City, UT
O20260416002611 WA Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Redmond, WA
O20260417000118 NH Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amherst, NH
O20260424000835 RI Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Hope, RI
O20260507000789 MO Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Saint Louis, MO
O20260507003060 GA Part B Supplier - Clinic/Group Practice 8426001496 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: McDonough, GA; Suwanee, GA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10900 Stonelake Blvd
Ste 250
Austin, TX 78759

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

Practitioners & affiliated clinicians

Practitioners 146

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 146

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1720065170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-519-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST",
            "address_2": "SUITE 220",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642192",
            "telephone_number": "512-238-7195",
            "fax_number": "512-218-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 Wayland Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372154023",
            "country_code": "US",
            "telephone_number": "512-795-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARA/ST. DAVID'S IMAGING, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-321-7026"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R28983",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170887702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00198399",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARA Imaging",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ARA Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.