Organization Active NPI

Diagnostic Radiology Inc

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1972613560
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23629 Issued in FL
Legal business name
DIAGNOSTIC RADIOLOGY INC
Practice address
7776 Evening Star Lane
Tallahassee, FL 32312-3555
Phone
(850) 545-1221
Fax
(850) 893-0144
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Belanje Sudhakara Hegde, MDNPI 1578664769
Title
President
Phone
(850) 893-8920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 23629 FL Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 019952 GA

Addresses

Primary practice location

7776 Evening Star Lane
Tallahassee, FL 32312-3555

Mailing address

7776 Evening Star Lane
Tallahassee, FL 32312-3555
Phone (850) 893-8920

Other identifiers 1

IdentifierTypeStateIssuer
308539500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1972613560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7776 EVENING STAR LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123555",
            "telephone_number": "850-893-8920",
            "fax_number": "850-893-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7776 EVENING STAR LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123555",
            "telephone_number": "850-545-1221",
            "fax_number": "850-893-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HEGDE",
        "authorized_official_first_name": "BELANJE",
        "authorized_official_middle_name": "SUDHAKARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-893-8920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "23629",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "019952",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308539500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.