Active NPI
Lafayette Radiology LLC
- Diagnostic Radiology Physician
- Lafayette, IN
National Provider Identifier
1891840062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LAFAYETTE RADIOLOGY LLC
- Practice address
- 1501 Hartford St
Lafayette, IN 47904-2134 - Phone
- (765) 502-4000
- Fax
- (765) 446-4859
- NPI assigned
- Jan 25, 2007
- Last updated
- Mar 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert E Mehl, MD
- Title
- President
- Phone
- (765) 446-4819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1501 Hartford St
Lafayette, IN 47904-2134
Mailing address
3900 St Francis Way
Suite 215
Lafayette, IN 47905-4925
Phone (765) 446-4819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200856080 | Medicaid | IN | |
| DG0872 | Other | IN | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
915 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-2424
Practitioners & affiliated clinicians
Practitioners 24
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.
-
- Vascular & Interventional Radiology Physician
- Lafayette, IN
- NPI 1477507416
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1316964125
-
- Neuroradiology Physician
- Indianapolis, IN
- NPI 1821043258
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1770577538
-
- Vascular & Interventional Radiology Physician
- Lafayette, IN
- NPI 1881649176
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1437143062
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1497740237
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1922091180
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1083657134
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1831167147
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447302591
-
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1497726673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1891840062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 ST FRANCIS WAY",
"address_2": "SUITE 215",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054925",
"telephone_number": "765-446-4819",
"fax_number": "765-466-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042134",
"telephone_number": "765-502-4000",
"fax_number": "765-446-4859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE RADIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "MEHL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-446-4819",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200856080",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DG0872",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Lafayette Oral and Maxillofacial Surgery Group, P.C.
- Lafayette Otolaryngology Associates, Inc (Lafayette ENT)
- Lafayette Pain Care, P.C.
- Lafayette Pediatric Dentistry & Orthodontics
- Lafayette Podiatry Associates, P.C.
- Lafayette Regional Rehabilitation Hospital LLC
- Lafayette Retina Clinic PC
- Lafayette School Corporation
- Lafayette Surgery Center LLC
- Lafayette Vein and Vascular Center LLC (Lafayette Vein and Vascular)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.