Organization Active NPI

Radia Inc P S

Doing business as Radia

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1932196607
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIA INC P S
Doing business as
Radia
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
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Dr. Bart P. Keogh, MDNPI 1669489472
Title
President
Phone
(425) 563-1500

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 Physician 2085R0202X Primary

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 7

IdentifierTypeStateIssuer
1021232MedicaidAK
7086796MedicaidWA
7085582MedicaidWA
115565OtherWAGROUP LABOR & IND.
272517MedicaidOR
8078797MedicaidID
8921216OtherWAGROUP CRIME VICTIMS

Other names 1

  • Radia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled 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, AK35 enrollments

Enrollment records 35

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 41)

2500 30th St
Ste 304A
Boulder, CO 80301

1035 116th Ave NE
#A
Bellevue, WA 98004

619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270

18708 Bothell Way NE
Bothell, WA 98011

1909 214th St SE
Ste 11C
Bothell, WA 98021

1625 SE 192nd Ave
Ste 100
Camas, WA 98607
Phone (360) 487-1965

3240 NE 3rd Ave
Camas, WA 98607
Phone (360) 729-8234

1321 Colby Ave
Ste 105
Everett, WA 98201

1330 Rockefeller Ave
Ste 201
Everett, WA 98201
Phone (425) 258-6801

3216 Norton Ave
Everett, WA 98201
Phone (425) 259-3181

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

728 134th St SW
Ste 102
Everett, WA 98204

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

8910 Vernon Rd
Ste 101
Lake Stevens, WA 98258

19020 33rd Ave W
Ste 120
Lynnwood, WA 98036

2902 164th St SW
Lynnwood, WA 98087
Phone (425) 741-7750

3011 196th St SW
Lynnwood, WA 98036
Phone (425) 688-5759

15418 Main St
Unit 105
Mill Creek, WA 98012

14707 179TH Ave SE
Monroe, WA 98272

1300 NE Goldie St
Oak Harbor, WA 98277
Phone (360) 240-4070

439 NE Midway
Oak Harbor, WA 98277
Phone (360) 679-1415

499 NE Midway Blvd
Oak Harbor, WA 98277
Phone (380) 679-1415

1102 E Front St
Port Angeles, WA 98362
Phone (360) 452-9729

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

18100 NE Union Hill Rd
#20
Redmond, WA 98052

Practitioners & affiliated clinicians

Practitioners 539

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.

View all 539

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1932196607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIA INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "KEOGH",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-563-1500",
        "authorized_official_name_prefix": "Dr.",
        "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": "1021232",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086796",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7085582",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP LABOR & IND.",
            "identifier": "115565",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272517",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8078797",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP CRIME VICTIMS",
            "identifier": "8921216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.