NPIMap

Individual provider Active NPI

Van Russell Wadlington, M.D.

  • Diagnostic Radiology Physician
  • Cullman, AL
National Provider Identifier
1780648212
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18187 Issued in AL
Practice address
501 Clark St NE
Cullman, AL 35055-1921
Phone
(256) 739-9898
Fax
(256) 739-9556
NPI assigned
Apr 13, 2006
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18187 AL Primary
General Practice Physician 208D00000X 18187 AL

Addresses

Primary practice location

501 Clark St NE
Cullman, AL 35055-1921

Mailing address

503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-0801

Other identifiers 5

IdentifierTypeStateIssuer
51514426OtherALBLUE CROSS/BLUE SHIELD
51550456OtherALBLUE CROSS/BLUE SHIELD
009961805MedicaidAL
000046855MedicaidAL
51521246OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040629001170 AL Practitioner - Diagnostic Radiology 3577549476 Reassigns benefits to 6 organizations
I20230213001022 TN Practitioner - Diagnostic Radiology 3577549476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of Hunstville PCGroup PAC ID 2567458359, 64 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (256) 713-0647

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
41.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18187ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Open MRI of Decatur LLC CurrentSince Dec 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2023 Accepting new patients
Locus Center, LLC Diagnostic Radiology Current Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Insight Imaging, Inc Diagnostic Radiology CurrentSince Jul 17, 2023 Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology Past Accepting new patients
Universal Health Services PastSince Feb 21, 2005 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

1201 13th Ave SE
Decatur, AL 35601
Phone (256) 350-7777

1811 Beltline Rd SW
Decatur, AL 35601
Phone (256) 341-9300

1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

115 Saint Clair Ave SE
Huntsville, AL 35801
Phone (256) 534-5600

2003 Whitesburg Dr SE
#A
Huntsville, AL 35801
Phone (256) 536-3550

2006 Franklin St SE
Ste 200
Huntsville, AL 35801
Phone (256) 538-0457

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

398 Hughes Rd
Madison, AL 35758
Phone (256) 461-8808

8415 Wann Dr NW
Madison, AL 35758
Phone (256) 704-1210

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1780648212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-0801",
            "fax_number": "256-739-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-9898",
            "fax_number": "256-739-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLINGTON",
        "first_name": "VAN",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "18187",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "18187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51514426",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51550456",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009961805",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046855",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51521246",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.