Active NPI
Radia Inc P S
Doing business as Radia
- Diagnostic Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2022
- 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
- Dr. Bart P. Keogh, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021232 | Medicaid | AK | |
| 7086796 | Medicaid | WA | |
| 7085582 | Medicaid | WA | |
| 115565 | Other | WA | GROUP LABOR & IND. |
| 272517 | Medicaid | OR | |
| 8078797 | Medicaid | ID | |
| 8921216 | Other | WA | GROUP CRIME VICTIMS |
Other names 1
- Radia
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, AK
Enrollment records 35
| 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 |
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 DirectoryMember 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.
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1669489472
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1790747863
-
- Vascular & Interventional Radiology Physician
- Lynnwood, WA
- NPI 1609219153
Diagnostic Radiology
-
- Pediatric Radiology Physician
- Lynnwood, WA
- NPI 1881005833
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1508058280
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1447642525
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1932112331
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1972515211
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.