Organization Active NPI

Irving Radiology, Inc

  • Diagnostic Radiology Physician
  • East Liverpool, OH
National Provider Identifier
1760374292
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
IRVING RADIOLOGY, INC
Practice address
425 W 5TH St
East Liverpool, OH 43920-2405
Phone
(239) 214-8187
NPI assigned
Jul 18, 2025
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
IRVING RADIOLOGY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Dr. Winston Dacosta Irving, MDNPI 1770739260
Title
Owner
Phone
(646) 725-2800

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 Physician 2085R0202X Primary

Addresses

Primary practice location

425 W 5TH St
East Liverpool, OH 43920-2405

Mailing address

13690 Eagle Ridge Dr
Fort Myers, FL 33912-1864
Phone (239) 214-8187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118002114 OH Part B Supplier - Clinic/Group Practice 3971881178 Receives reassigned benefits from 1 practitioner
Practice locations: East Liverpool, OH

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Irving Radiology Inc4 organizations share this tax ID, including this one
Part of
Irving Radiology Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1760374292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 EAGLE RIDGE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121864",
            "telephone_number": "239-214-8187",
            "fax_number": "877-334-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "239-214-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING RADIOLOGY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRVING RADIOLOGY, INC",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "DACOSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-725-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.