Organization Active NPI

Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
National Provider Identifier
1740482686
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FOUNDATION RADIOLOGY GROUP PC
Practice address
6400 Brooktree CT Ste 350
Wexford, PA 15090-9271
Phone
(412) 230-8200
Fax
(412) 230-8215
NPI assigned
Jun 4, 2007
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Todd Blodgett, MDNPI 1689877730
Title
President
Phone
(412) 224-6399

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

6400 Brooktree CT Ste 350
Wexford, PA 15090-9271

Mailing address

PO Box 675253
Detroit, MI 48267-5253

Other identifiers 1

IdentifierTypeStateIssuer
1019490800003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN, NJ, IA, DC, OH, CA, NV, FL, IL, VA, MD, KS, NY, IN, KY, RI, AZ, MI, DE, MA, TX, GA, WA, CO, UT, MN, NC, HI, NM, SC, AK, MO, OK, VT, MS, WI, CT39 enrollments

Enrollment records 39

Enrollment IDStateProvider typePAC IDDetails
O20070709000274 PA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 54 practitioners
O20090423000751 TN Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN
O20090604000187 NJ Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 4 practitioners
Practice locations: Voorhees, NJ; Cranford, NJ; Asbury, NJ
O20090618000400 IA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Ames, IA
O20090925000096 DC Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 39 practitioners
Practice locations: Washington, DC; North Potomac, MD; MC Lean, VA; Laurel, MD; Fairfax, VA; Bowie, MD; Arlington, VA; Alexandria, VA…
O20091007000507 OH Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 19 practitioners
Practice locations: Cincinnati, OH; Youngstown, OH; Salem, OH; Pepper Pike, OH; Ottawa Hills, OH; East Liverpool, OH; Chagrin Falls, OH
O20091020000640 CA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 8 practitioners
Practice locations: Palo Alto, CA; Los Angeles, CA; La Jolla, CA; Eastvale, CA; Downey, CA; Clovis, CA; Brentwood, CA; Alameda, CA
O20091028000202 NV Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV
O20091113000291 FL Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 12 practitioners
Practice locations: Wesley Chapel, FL; Gainesville, FL; Tampa, FL; Sanford, FL; Punta Gorda, FL; Palm Beach Gardens, FL; Osprey, FL; Orlando, FL…
O20100413000142 IL Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 6 practitioners
Practice locations: Westmont, IL; Frankfort, IL; Flossmoor, IL; Chicago, IL
O20120113000248 CA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 3 practitioners
Practice locations: Clovis, CA
O20120430000519 VA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 23 practitioners
Practice locations: Manakin Sabot, VA; Richmond, VA; Roanoke, VA; South Hill, VA; Purcellville, VA; Sterling, VA; Williamsburg, VA; Winchester, VA…
O20130214000226 MD Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 76 practitioners
Practice locations: Timonium, MD; Laurel, MD; Largo, MD; Dayton, MD; Crownsville, MD; Crofton, MD; Bowie, MD; La Plata, MD
O20140418000254 KS Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Leawood, KS
O20140519001138 NY Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 7 practitioners
Practice locations: New Rochelle, NY; Springville, NY; Rochester, NY; New York, NY; New Hyde Park, NY; Loch Sheldrake, NY; Lawrence, NY; Laurelton, NY
O20140711002125 IN Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 4 practitioners
Practice locations: Fishers, IN; Terre Haute, IN; Noblesville, IN; Muncie, IN; Lafayette, IN; Indianapolis, IN; Greenwood, IN; Carmel, IN…
O20140808000950 KY Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 15 practitioners
Practice locations: Louisville, KY; Morehead, KY; Nicholasville, KY; Prospect, KY; Saint Matthews, KY; Shelbyville, KY; Shepherdsville, KY; Eminence, KY…
O20141011000110 RI Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI
O20150121002208 AZ Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ; Queen Creek, AZ; Tucson, AZ
O20160427001239 MI Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 7 practitioners
Practice locations: West Bloomfield, MI; Traverse City, MI; Northville, MI; Grosse Pointe Park, MI; Mackinac Island, MI; Grosse Pointe Farms, MI; Harbor Springs, MI; Ann Arbor, MI…
O20170322000397 DE Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, DE; Wilmington, DE
O20171206000447 MA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, MA; Shrewsbury, MA
O20181002001208 TX Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 5 practitioners
Practice locations: Friendswood, TX; San Antonio, TX; McKinney, TX; Houston, TX; Irving, TX
O20181005000509 GA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 4 practitioners
Practice locations: Dacula, GA; Savannah, GA; Milton, GA
O20190409002636 WA Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Spokane, WA; Vancouver, WA
O20191209000364 CO Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20200207000111 UT Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 2 practitioners
Practice locations: Park City, UT; South Jordan, UT; Stansbury Park, UT; Taylorsville, UT
O20200220000036 MN Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN; West St Paul, MN; St Louis Park, MN; Shakopee, MN; Roseville, MN; Plymouth, MN; Otsego, MN; Osakis, MN…
O20200415003603 NC Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 4 practitioners
Practice locations: Carolina Beach, NC; New Bern, NC; Fayetteville, NC; Apex, NC
O20200604001231 HI Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 8 practitioners
Practice locations: Honolulu, HI; Kailua Kona, HI; Lihue, HI
O20231214001073 NM Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM; Albuquerque, NM
O20240102004168 SC Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Leesville, SC
O20240116002360 AK Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle River, AK
O20240206002542 MO Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Peters, MO; Ellisville, MO; Saint Louis, MO; O Fallon, MO; Chesterfield, MO
O20240320000049 OK Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK
O20250224001567 VT Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Ludlow, VT
O20260325001336 MS Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Corinth, MS
O20260413000577 WI Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Green Bay, WI
O20260505000748 CT Part B Supplier - Clinic/Group Practice 3779683537 Receives reassigned benefits from 1 practitioner
Practice locations: Coventry, CT

National Provider Directory

National Provider Directory

Locations (25 of 28)

2432 S Sepulveda Blvd
Apt 2541
Los Angeles, CA 90064

1026 Monroe St NE
Washington, DC 20017

75 Remittance Dr
#8310
Chicago, IL 60675
Phone (317) 805-4034

75 Remittance Dr
Ste 8310
Chicago, IL 60675

13436 Tegler Dr
Ste F
Noblesville, IN 46060

14109 Overbrook Rd
Ste A
Leawood, KS 66224

150 Fairview Ct
Eminence, KY 40019
Phone (502) 845-5672

900 Fairdale Rd
Fairdale, KY 40118
Phone (502) 366-8778

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

1707 Cedar Grove Rd
Ste 104
Shepherdsville, KY 40165

1021 E Main St
Edmore, MI 48829
Phone (989) 427-5320

1179 East Paris Ave SE
Ste 150
Grand Rapids, MI 49546
Phone (616) 455-9450

2215 44th St SW
Ste 200
Wyoming, MI 49519

111 17th Ave E
Ste 309
Alexandria, MN 56308

7123 France Ave S
Edina, MN 55435
Phone (952) 345-3838

10438 185th St W
Ste 100
Lakeville, MN 55044
Phone (952) 345-3878

9630 Grove Cir N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-9916

9040 Quaday Ave NE
Ste 100
Otsego, MN 55330
Phone (763) 433-2033

2995 Winners Circle Dr
Shakopee, MN 55379

11737 Olive Blvd
Saint Louis, MO 63141
Phone (314) 291-6736

425 5th Ave
East Liverpool, OH 43920
Phone (330) 385-7200

48462 Bell School Rd
East Liverpool, OH 43920
Phone (330) 385-1770

625 N Pottstown Pike
Franklin Ctr, PA 19341
Phone (610) 363-2722

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

150 Wayland Smith Dr
Uniontown, PA 15401
Phone (412) 782-1500

Practitioners & affiliated clinicians

Practitioners 208

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 208

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1740482686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675253",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482675253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 350",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909271",
            "telephone_number": "412-230-8200",
            "fax_number": "412-230-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION RADIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "BLODGETT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-224-6399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019490800003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.