Active NPI
Savannah Chatham Imaging LLC
- Diagnostic Radiology Physician
- Savannah, GA
National Provider Identifier
1992721278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34456
- Legal business name
- SAVANNAH CHATHAM IMAGING LLC
- Practice address
- 5353 Reynolds St
Savannah, GA 31405-6015 - Phone
- (912) 356-9222
- Fax
- (912) 356-1080
- NPI assigned
- Jul 13, 2006
- Last updated
- Oct 23, 2023
- 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
- Carlos A Rivera, M.D.
- Title
- President
- Phone
- (912) 356-9222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34456 | GA | Primary |
Addresses
Primary practice location
5353 Reynolds St
Savannah, GA 31405-6015
Mailing address
345 Commercial Dr
Savannah, GA 31406-3606
Phone (912) 356-9222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918628166 | Medicaid | GA | |
| DF0304 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO, TN, CO, IL, PA, TX, VA, NC, IN, MA, DC, WA
Enrollment records 13
National Provider Directory
National Provider Directory- Tax ID family
- Outpatient Imaging Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Bluffton, SC
- NPI 1528719275
Locations
1415 Elbridge Payne Rd
Ste 120
Chesterfield, MO 63017
Phone (314) 728-2221
16100 Chesterfield Pkwy W
Ste 310
Chesterfield, MO 63017
Practitioners & affiliated clinicians
Practitioners 47
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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1992721278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 COMMERCIAL DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063606",
"telephone_number": "912-356-9222",
"fax_number": "912-356-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-356-9222",
"fax_number": "912-356-1080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH CHATHAM IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-356-9222",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "34456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918628166",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF0304",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
- Savannah Behavioral Pediatrics, LLC
- Savannah Behavioral Services, LLC
- Savannah Bone and Joint, P.C.
- Savannah Cardiology, PC
- Savannah Cardiovascular Surgery
- Savannah Children's Heart Center, PC
- Savannah Children's Therapy Center, LLC (Children's Therapy Center)
- Savannah Chiropractic and Rehabilitation Center (Sandfly Chiropractic and Rehabilitation Center)
- Savannah Chiropractic PC (Brown Chiropractic)
- Savannah Clinic Inc. (Savannah Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.