NPIMap

Organization Active NPI

Radiology Associates of the Main Line P C

  • Diagnostic Radiology Physician
  • Paoli, PA
National Provider Identifier
1750332003
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF THE MAIN LINE P C
Practice address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone
(610) 648-1000
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Emma Simpson, MD
Title
Authorized Representative
Phone
(610) 648-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

255 W Lancaster Ave
Paoli, PA 19301-1763

Mailing address

PO Box 678678
Dallas, TX 75267-8678
Phone (800) 475-6112

Other identifiers 1

IdentifierTypeStateIssuer
0016175060029MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA, CA, FL, NY, NJ, TN, MO8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040309000533 PA Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 76 practitioners
Practice locations: Media, PA; Wynnewood, PA; Wexford, PA; Philadelphia, PA; Penn Valley, PA; Paoli, PA; Newtown SQ, PA; Merion Station, PA…
O20240828003066 MA Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, MA; Somerville, MA
O20250225001646 CA Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, CA; Rancho Palos Verdes, CA
O20250321002191 FL Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL; Orlando, FL
O20250402001736 NY Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 3 practitioners
Practice locations: Clayton, NY; New York, NY
O20260303000593 NJ Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 2 practitioners
Practice locations: Holmdel, NJ; Passaic, NJ
O20260330000027 TN Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, TN
O20260423001868 MO Part B Supplier - Clinic/Group Practice 9931097193 Receives reassigned benefits from 3 practitioners
Practice locations: Chesterfield, MO; Columbia, MO; Wildwood, MO

National Provider Directory

National Provider Directory

Locations

80 Lancaster Ave
Devon, PA 19333
Phone (484) 580-1800

491 John Young Way
Ste 110
Exton, PA 19341
Phone (610) 645-2000

993 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-4098

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

Practitioners & affiliated clinicians

Practitioners 178

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

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1750332003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678678",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678678",
            "telephone_number": "800-475-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF THE MAIN LINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "610-648-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016175060029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.