Individual provider Active NPI

Vladislav Velizarov Tchatalbachev, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1831402569
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2010021664 Issued in MO
Practice address
1 Hospital Dr
Columbia, MO 65201-5276
Phone
(573) 882-7901
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2010021664 MO Primary

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65201-5276

Mailing address

5500 Volunteer Dr
Columbia, MO 65201-2843
Phone (314) 629-7207

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150820012065 MO Practitioner - Diagnostic Radiology 4587979448 Reassigns benefits to 5 organizations
I20210126003577 TN Practitioner - Diagnostic Radiology 4587979448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-8551

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1165

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031

710 Kingston Terrace CT
Saint Charles, MO 63301-1486
Phone (314) 629-7207

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319

Merit-based Incentive Payment System (MIPS)

Final score
76.35 of 100Reported as group
Quality
72.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010021664MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Feb 15, 2021 Accepting new patients

Locations

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

630 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-2700

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

300 Wanda St
Marietta, OK 73448
Phone (580) 276-2400

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

3012 Business Park Cir
Ste 100
Goodlettsville, TN 37072
Phone (615) 239-2046

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

101 Physicians Way
Ste 113
Lebanon, TN 37090

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

4230 Harding Pike
Ste 220
Nashville, TN 37205
Phone (615) 467-1050

28 White Bridge Pike
Ste 104
Nashville, TN 37205

2323 Crestmoor Rd
Nashville, TN 37215

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 8

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

Hospital & facility affiliations 6

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1831402569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 VOLUNTEER DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012843",
            "telephone_number": "314-629-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015276",
            "telephone_number": "573-882-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHATALBACHEV",
        "first_name": "VLADISLAV",
        "middle_name": "VELIZAROV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2010021664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.