NPIMap

Individual provider Active NPI

William E Passodelis, MD

  • Diagnostic Radiology Physician
  • Beaver, PA
National Provider Identifier
1982644431
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01059792A Issued in IN
Practice address
1670 River Rd
Beaver, PA 15009-2412
Phone
(724) 774-5227
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35066851 OH
Diagnostic Radiology Physician 2085R0202X 01059792A IN Primary

Addresses

Primary practice location

1670 River Rd
Beaver, PA 15009-2412

Mailing address

1670 River Rd
Beaver, PA 15009-2412
Phone (724) 774-5227

Other identifiers 11

IdentifierTypeStateIssuer
200315510MedicaidIN
7692258OtherOHAETNA
000000538713OtherOHAMTHEM
102974130MedicaidPA
751180OtherOHBUCKEYE
P00398037OtherOHRAILROAD MEDICARE
0304914OtherOHBCMH
0982165MedicaidOH
000000225226OtherOHUNISON
ME78324OtherFLFLORIDA MEDICAL LICENSE
415018OtherOHWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
35.69 of 100Reported as group
Quality
0
Promoting interoperability
98
Improvement activities
0
Cost
33.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059792AINMDDiagnostic Radiology Physician
35066851OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open MRI of Steubenville, LTD Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients
Radiologic Associates of Northwest Indiana, PC Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology PastSince Jun 4, 2008 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1982644431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 RIVER RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092412",
            "telephone_number": "724-774-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 RIVER RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092412",
            "telephone_number": "724-774-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSODELIS",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35066851",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01059792A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200315510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7692258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTHEM",
            "identifier": "000000538713",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102974130",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "751180",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00398037",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0304914",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982165",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000225226",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME78324",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "415018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.