NPIMap

Organization Active NPI

Bay Imaging Consultants Medical Group Inc

  • Diagnostic Radiology Physician
  • Berkeley, CA
National Provider Identifier
1982193512
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BAY IMAGING CONSULTANTS MEDICAL GROUP INC
Practice address
3100 San Pablo Ave Ste 330
Berkeley, CA 94702-2498
Phone
(510) 985-5031
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Aseem Om Rawal
Title
President
Phone
(925) 296-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3100 San Pablo Ave Ste 330
Berkeley, CA 94702-2498

Mailing address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone (925) 296-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, HI, NY, MA, NC, KY, MD, PA, WA10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040110000189 CA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 167 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20190321001636 NJ Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 3 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ridgewood, NJ; Morganville, NJ; Princeton, NJ; Parsippany, NJ; Matawan, NJ
O20190711003334 HI Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 46 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI; Lanai City, HI; Kapolei, HI; Kaneohe, HI
O20191010002522 NY Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 1 practitioner
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Great Neck, NY; Manhasset, NY; Roslyn, NY
O20191120002190 MA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 5 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boston, MA; Cambridge, MA; Charlestown, MA; Milford, MA; Northborough, MA; Winchester, MA
O20191125001759 NC Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 3 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cary, NC; Durham, NC
O20200321000424 KY Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 1 practitioner
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY
O20200624000029 MD Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 2 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Owings Mills, MD
O20211110002224 PA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 1 practitioner
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA
O20230509002324 WA Part B Supplier - Clinic/Group Practice 9537069125 Receives reassigned benefits from 1 practitioner
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clyde Hill, WA; Kenmore, WA

Other NPIs on the same Medicare enrollment 24

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

View all 24

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1982193512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7122",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SAN PABLO AVE STE 330",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022498",
            "telephone_number": "510-985-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY IMAGING CONSULTANTS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "ASEEM",
        "authorized_official_middle_name": "OM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-296-7150"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.