Radiology LTD., LLC
Organization Active NPI Diagnostic Radiology Physician · Tucson, AZ
NPI 1841261989 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1841261989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- RADIOLOGY LTD., LLC
- Practice address
- 677 N Wilmot Rd
Tucson, AZ 85711-2701 - Phone
- (520) 795-2889
- Fax
- (520) 795-6321
- NPI assigned
- Jan 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Katrina Roelle
- Title
- Director of Credentialing
- Phone
- (614) 689-1691
Practitioners 128
-
Gaurav Anand, MD
-
Ryan D. Beckett, M.D.
-
Matthew L Bell, MD
-
William G Berger, MD
-
Marisa H Borders, MD
-
Thomas R. Cain, M.D.
-
Shalini Chabra, M.D.
-
Melissa A Craig, NP
-
Marcus John Dill-Macky, M.D.
-
Kristina L Douglas, M.D.
-
Miriam Gurevich Geoffroy, M.D.
-
David Todd Jeck, MD
-
Bobby Kalb, MD
-
Chad Andrew Kohl, MD
-
John Anthony Lee, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1069084 | Radiology LTD | Certificate of waiver | May 28, 2027 |
| 03D1069092 | Radiology LTD | Certificate of waiver | May 28, 2027 |
| 03D1069093 | Radiology LTD | Certificate of waiver | May 28, 2027 |
| 03D1069099 | Radiology LTD | Certificate of waiver | May 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (19 enrollments) in AZ, WA, CO, CA, OR, NY, GA, AL, WI, NJ, TX, FL, UT, ME, NM, WY, MD, MI, IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000873 | AZ | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 41 practitioners Practice locations: Tucson, AZ; Oro Valley, AZ; Green Valley, AZ |
| O20141106001115 | WA | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Seattle, WA |
| O20170109002949 | CO | Part B Supplier - Clinic/Group Practice | 6204727589 | Receives reassigned benefits from 57 practitioners |
| O20201217002112 | CA | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 5 practitioners Practice locations: La Jolla, CA; Manteca, CA; Palm Desert, CA; San Francisco, CA; San Rafael, CA; Santa Barbara, CA |
| O20201229001456 | OR | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Portland, OR |
| O20210121002297 | NY | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 2 practitioners Practice locations: Hastings on Hudson, NY; Mount Vernon, NY |
| O20210804003565 | GA | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlanta, GA |
| O20220111001739 | AL | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Vestavia, AL |
| O20220113000274 | WI | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 2 practitioners Practice locations: Madison, WI; Wauwatosa, WI |
| O20220616002351 | NJ | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 2 practitioners Practice locations: Teaneck, NJ; Voorhees, NJ |
| O20230519002445 | TX | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 4 practitioners Practice locations: Addison, TX; Houston, TX; Katy, TX; San Antonio, TX |
| O20230725001664 | FL | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Key Biscayne, FL |
| O20240702002427 | UT | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 2 practitioners Practice locations: Salt Lake City, UT |
| O20240708002282 | ME | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Lebanon, ME |
| O20240823002181 | NM | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
| O20251216004621 | WY | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Cheyenne, WY |
| O20260120001044 | MD | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Mount Airy, MD |
| O20260205003949 | MI | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Troy, MI |
| O20260414001411 | IA | Part B Supplier - Clinic/Group Practice | 6204727589 |
Receives reassigned benefits from 1 practitioner Practice locations: Coralville, IA |
National Provider Directory
Locations
450 W Continental Rd
Green Valley, AZ 85622
Phone (520) 393-0965
2551 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone (520) 545-1966
1598 W Commerce Ct
Ste A
Tucson, AZ 85746
Phone (520) 290-4842
6520 E Carondelet Dr
Ste C
Tucson, AZ 85710
Phone (520) 296-2393
1598 W Commerce Ct
Tucson, AZ 85746
4640 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 318-6144
1598 W Commerce Ct
#A
Tucson, AZ 85746
Phone (520) 290-4842
6567 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 290-4841
330 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 290-4840
5355 E Erickson Dr
Ofc
Tucson, AZ 85712
Phone (520) 795-3822
5960 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 290-4848
6516 E Carondelet Dr
Ste C
Tucson, AZ 85710
Phone (520) 296-2393
6526 E Carondelet Dr
Ste D
Tucson, AZ 85710
Phone (520) 722-1832
6518 E Carondelet Dr
Ste C
Tucson, AZ 85710
Phone (520) 722-1832
2675 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 260-0937
1980 W Hospital Dr
Ste 113
Tucson, AZ 85704
Phone (520) 742-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | AZ | Yes |
Addresses
Primary practice location
677 N Wilmot Rd
Tucson, AZ 85711-2701
Mailing address
677 N Wilmot Rd
Tucson, AZ 85711-2701
Phone (520) 795-2889
Other practice location 1
10350 E Drexel Rd
Tucson, AZ 85747-9405
Phone (520) 290-4846
Other practice location 2
630 N Alvernon Way Ste 150
Tucson, AZ 85711-1844
Phone (520) 318-6151
Other practice location 3
400 W Camino Casa Verde Ste 200
Green Valley, AZ 85614-3569
Phone (520) 795-2889
Other practice location 4
395 N Silverbell Rd Ste 185
Tucson, AZ 85745-2721
Phone (520) 872-6900
Other practice location 5
5960 N La Cholla Blvd
Tucson, AZ 85741-3535
Phone (520) 290-4848
Other practice location 6
450 W Continental Rd
Green Valley, AZ 85622-3551
Phone (520) 795-2889
Other practice location 7
2551 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9124
Phone (520) 825-1990
Other practice location 8
4640 E Camp Lowell Dr
Tucson, AZ 85712-1296
Phone (520) 318-6144
Other practice location 9
1598A West Commerce Court
Tucson, AZ 85746-6015
Phone (520) 290-4842
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS7943 | Other | AZ | GROUP MEDICARE RAILROAD ID # & PTAN |
| 1841261989 | Other | AZ | GROUP NPI |
| 001481 | Medicaid | AZ |
Other names
- Radiology Ltd.
Other providers in Tucson, AZ
- Mary Jo Radell
- Barbara Raden
- Amanda J Rader
- Nelly Radeva
- Radiant Research, Inc.
- Whitney Radke
- Heather Serena Radler
- Kiara Radley
- Natalie Marie Radloff
- Paula B Radmacher
All providers in Tucson, AZ · Diagnostic Radiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.