Radia Inc P S
Organization Active NPI Diagnostic Radiology Physician · Lynnwood, WA
NPI 1932196607 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1932196607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- RADIA INC P S
- Practice address
- 19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Sep 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Bart P. Keogh, MD
- Title
- President
- Phone
- (425) 563-1500
Other NPIs on the same Medicare enrollment 1
Member organizations 3
Practitioners 528
-
Bart Patrick Keogh, M.D.
-
Kathrin Leanne Ahl, M.D.
-
Stephen Killefer Allison, M.D.
-
Hans Bakken, M.D.
-
Dae Hee Bang, M.D.
-
Robert D Bloch, MD
-
Tamuna Chabra, MD, PHD
-
Herbert W. Chen, M.D.
-
Sardius Chen, M.D.
-
Jonathan Merlin Davison, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (35 enrollments) in WA, ID, CA, OR, MO, GA, DC, CO, HI, VA, MT, FL, UT, AZ, OK, TX, NE, AL, AR, NJ, NV, TN, MI, SC, NY, NC, PA, CT, OH, MD, ME, LA, IL, SD, AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000749 | WA | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 235 practitioners 1 other NPI on this enrollment |
| O20140513002232 | ID | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 50 practitioners Practice locations: Post Falls, ID; Hayden, ID; Dalton Gardens, ID; Coeur D'Alene, ID; Coeur D Alene, ID |
| O20190305000322 | CA | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 28 practitioners Practice locations: Rolling Hills Estates, CA; San Diego, CA; San Francisco, CA; Santa Barbara, CA; La Jolla, CA; Santa Monica, CA; Santa Rosa, CA; Sherman Oaks, CA… |
| O20190624003049 | OR | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 24 practitioners Practice locations: West Linn, OR; Portland, OR; Medford, OR; Ashland, OR; Eagle Point, OR; Grants Pass, OR; Jacksonville, OR; Bend, OR |
| O20191007001242 | MO | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Kirkwood, MO; Jackson, MO; Saint Louis, MO |
| O20201230001343 | GA | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 3 practitioners Practice locations: Augusta, GA; Columbus, GA; Saint Simons Island, GA; Suwanee, GA |
| O20210128000735 | DC | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Alexandria, VA; Clarksburg, MD; Fairfax, VA; Reston, VA; Washington, DC |
| O20220221000275 | CO | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 7 practitioners Practice locations: Colorado Springs, CO; Louisville, CO; Littleton, CO; Highlands Ranch, CO; Broomfield, CO; Boulder, CO |
| O20220411000760 | HI | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 5 practitioners Practice locations: Honolulu, HI; Kailua, HI; Kaneohe, HI; Ewa Beach, HI |
| O20220629003732 | VA | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Virginia Beach, VA |
| O20220707004005 | MT | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Cascade, MT; Eureka, MT; Kalispell, MT; Whitefish, MT |
| O20220718002469 | FL | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Boca Raton, FL; Coral Gables, FL; Jacksonville, FL; Palm Harbor, FL; Ponte Vedra, FL; Port Orange, FL; Tampa, FL |
| O20220728003550 | UT | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 6 practitioners Practice locations: Washington, UT; Sandy, UT; Salt Lake City, UT; Park City, UT; Ivins, UT |
| O20220811002101 | AZ | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Phoenix, AZ; Scottsdale, AZ; Queen Creek, AZ; Gilbert, AZ; Chandler, AZ; Cave Creek, AZ; Casa Grande, AZ; Apache Junction, AZ |
| O20220815002530 | OK | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 2 practitioners Practice locations: Oklahoma City, OK |
| O20220902000393 | TX | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 16 practitioners Practice locations: Boerne, TX; Dallas, TX; Flower Mound, TX; Austin, TX; Georgetown, TX; Grapevine, TX; Houston, TX; San Antonio, TX… |
| O20220922001083 | NE | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Lincoln, NE |
| O20221013000047 | AL | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 3 practitioners Practice locations: Birmingham, AL; Daphne, AL; Vestavia, AL |
| O20221107000940 | AR | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Fayetteville, AR |
| O20221202000138 | NJ | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 3 practitioners Practice locations: Chatham, NJ; Fort Lee, NJ; Jersey City, NJ |
| O20230524003423 | NV | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 5 practitioners Practice locations: Las Vegas, NV; Zephyr Cove, NV; Reno, NV |
| O20230525002056 | TN | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 5 practitioners Practice locations: Memphis, TN; Nashville, TN; Germantown, TN; Knoxville, TN |
| O20231115001847 | MI | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 3 practitioners Practice locations: Ann Arbor, MI; Spring Lake, MI; Grand Rapids, MI |
| O20240320004062 | SC | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 3 practitioners Practice locations: Daniel Island, SC; Folly Beach, SC; Sullivans Island, SC |
| O20240325002281 | NY | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 2 practitioners Practice locations: Valley Stream, NY; Saint James, NY |
| O20240516000815 | NC | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 5 practitioners Practice locations: Summerfield, NC; Hickory, NC; Charlotte, NC; Cary, NC |
| O20240610002626 | PA | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 2 practitioners Practice locations: Export, PA; Mars, PA; Sewickley, PA |
| O20241223000383 | CT | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Easton, CT; Fairfield, CT |
| O20250124000631 | OH | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 4 practitioners Practice locations: Cleveland, OH; Marietta, OH; Medina, OH; Tippy City, OH |
| O20250428000402 | MD | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Ellicott City, MD |
| O20250827003168 | ME | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Carrabassett Valley, ME; Cushing, ME |
| O20250913000366 | LA | Part B Supplier - Clinic/Group Practice | 9931012812 | Practice locations: Baton Rouge, LA |
| O20251017001384 | IL | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 2 practitioners Practice locations: Barrington, IL; Wilmette, IL |
| O20251121001154 | SD | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 1 practitioner Practice locations: Rapid City, SD |
| O20260224000226 | AK | Part B Supplier - Clinic/Group Practice | 9931012812 |
Receives reassigned benefits from 2 practitioners Practice locations: Eagle River, AK |
National Provider Directory
Locations (25 of 55)
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
383 Kalaimoku St
#D2708
Honolulu, HI 96815
7600 N Mineral Dr
Ste 450
Dalton Gardens, ID 83815
Phone (208) 457-4208
750 N Syringa St
Ste 190
Post Falls, ID 83854
Phone (208) 262-2328
1035 116th Ave NE
#A
Bellevue, WA 98004
1135 116th Ave NE
Bellevue, WA 98004
Phone (425) 289-3100
619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270
1909 214th St SE
Ste 11C
Bothell, WA 98021
18708 Bothell Way NE
Bothell, WA 98011
3240 NE 3rd Ave
Camas, WA 98607
Phone (360) 729-8234
908 S Scheuber Rd
#A
Centralia, WA 98531
Phone (360) 330-8880
7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930
728 134th St SW
Ste 102
Everett, WA 98204
1330 Rockefeller Ave
Ste 201
Everett, WA 98201
Phone (425) 258-6801
1321 Colby Ave
Ste 105
Everett, WA 98201
3216 Norton Ave
Everett, WA 98201
Phone (425) 259-3181
751 NE Blakely Dr
#3
Issaquah, WA 98029
Phone (425) 313-4000
5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
8910 Vernon Rd
Ste 101
Lake Stevens, WA 98258
1431 N Liberty Lake Rd
Liberty Lake, WA 99019
Phone (509) 928-6700
2902 164th St SW
Lynnwood, WA 98087
Phone (425) 741-7750
19020 33rd Ave W
Ste 120
Lynnwood, WA 98036
19020 33rd Ave W
Lynnwood, WA 98036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Mailing address
19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7085582 | Medicaid | WA | |
| 1021232 | Medicaid | AK | |
| 115565 | Other | WA | GROUP LABOR & IND. |
| 7086796 | Medicaid | WA | |
| 8921216 | Other | WA | GROUP CRIME VICTIMS |
| 8078797 | Medicaid | ID | |
| 272517 | Medicaid | OR |
Other names
- Radia
Other providers in Lynnwood, WA
- Chanelle Starr Quinn
- Jazmin Quinones
- Tammy Star Quintanar
- R M Anesthesia Services PLLC
- Radia Inc P S
- Radia Oregon Radiology Medical Group Billing LLC
- Anastasiya Radion
- Lisa M Radziwanowicz
- Ryan Raeburn
- Sakura Mae Rael
All providers in Lynnwood, WA · Diagnostic Radiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.