NPIMap

Organization Active NPI

Radiology Professionals, PA

  • Diagnostic Radiology Physician
  • Portland, ME
National Provider Identifier
1912984089
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY PROFESSIONALS, PA
Practice address
175 Fore River Pkwy
Portland, ME 04102-2779
Phone
(207) 879-3000
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
David Langdon, MDNPI 1083691034
Title
President
Phone
(207) 879-3000

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

175 Fore River Pkwy
Portland, ME 04102-2779

Mailing address

PO Box 986520 Department 250
Boston, MA 02298-6520
Phone (207) 784-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060215000764 ME Part B Supplier - Clinic/Group Practice 1153336979 Receives reassigned benefits from 10 practitioners
Practice locations: Yarmouth, ME; Waterville, ME; Scarborough, ME; Portland, ME; Falmouth, ME
O20241216000302 MA Part B Supplier - Clinic/Group Practice 1153336979 Receives reassigned benefits from 2 practitioners
Practice locations: North Andover, MA; Newburyport, MA
O20250219002715 NH Part B Supplier - Clinic/Group Practice 1153336979 Receives reassigned benefits from 2 practitioners
Practice locations: Portsmouth, NH; Hampton, NH

National Provider Directory

National Provider Directory

Locations

195 Fore River Pkwy
Ste 120
Portland, ME 04102
Phone (207) 415-4841

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

260 Northern Blvd
Great Neck, NY 11021

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1912984089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986520 DEPARTMENT 250",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986520",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FORE RIVER PKWY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022779",
            "telephone_number": "207-879-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-879-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.