USA RADIOLOGY MANAGEMENT SOLUTIONS LLC – Diagnostic Radiology Physician, NPI 1689091076
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for USA RADIOLOGY MANAGEMENT SOLUTIONS LLC
PO BOX 2153 DEPT 30755
BIRMINGHAM, AL 352879283
Phone: (314) 770-2133
Fax: (314) 821-1833
Type: Mailing
603 S BISHOP AVE
ROLLA, MO 654014314
Phone: (573) 426-4411
Fax: (314) 821-1833
Type: Location
35629 Highway 72
Salem, MO 655607217
Phone: (573) 729-6626
Fax: (314) 821-1833
Type: Location
400 E Tickle St
Dyersburg, TN 380243120
Phone: (731) 285-2410
Fax: (314) 821-1833
Type: Location
17651 Highway B
Boonville, MO 652332839
Phone: (314) 238-5260
Fax: (314) 821-1833
Type: Location
1000 W 10th St
Rolla, MO 654012905
Phone: (573) 458-8899
Fax: (314) 821-1833
Type: Location
1415 ELBRIDGE PAYNE RD STE 120
CHESTERFIELD, MO 630178522
Phone: (314) 238-5260
Fax: (636) 519-7965
Type: Location
502 EARTH CITY PLAZA EXPRESSWAY
SUITE 121
EARTH CITY, MO 63045
Phone: (314) 770-2133
Fax: (314) 770-2154
Type: Mailing
1415 Elbridge Payne Rd Ste 120
Chesterfield, MO 630178522
Phone: (314) 238-5260
Fax: (636) 519-7965
Type: Location
3933 S Broadway
Saint Louis, MO 631184601
Phone: (314) 865-7000
Fax: (314) 821-1833
Type: Location
1333 S Sam Houston Blvd
Houston, MO 654832046
Phone: (417) 967-3311
Fax: (314) 821-1833
Type: Location
1201 Bishop St
Union City, TN 382615403
Phone: (731) 885-2410
Fax: (314) 821-1833
Type: Location
1801 N Jackson St
Tullahoma, TN 373888259
Phone: (931) 393-3000
Type: Location
17 Centre Plaza Dr
Jackson, TN 383052862
Phone: (731) 512-0104
Fax: (314) 821-1833
Type: Location
301 Tyson Ave
Paris, TN 382424544
Phone: (731) 642-1220
Fax: (314) 821-1833
Type: Location
326 Asbury Ave
Ripley, TN 380635577
Phone: (731) 221-2200
Fax: (314) 821-1833
Type: Location
204 Medical Dr
Lafayette, TN 370831719
Phone: (615) 666-2147
Fax: (314) 821-1833
Type: Location
946 E Reed St
Hayti, MO 638511243
Phone: (573) 359-1372
Fax: (314) 821-1833
Type: Location
1000 Gw Ln Ste 150
Waynesville, MO 655832339
Phone: (573) 842-4116
Fax: (314) 821-1833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
13
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140819001004 | O | Clinic/Group Practice | VA | TBD |
| O20141024001746 | O | Clinic/Group Practice | MO | TBD |
| O20180907001110 | O | Clinic/Group Practice | TN | 2023-09-30 |
| O20191014001090 | O | Clinic/Group Practice | IL | 2024-10-31 |
| O20191127000133 | O | Clinic/Group Practice | MD | 2025-08-31 |
| O20191205002133 | O | Clinic/Group Practice | IN | 2025-09-30 |
| O20200602002268 | O | Clinic/Group Practice | CO | 2025-12-31 |
| O20200722000115 | O | Clinic/Group Practice | FL | 2026-06-30 |
| O20220514000051 | O | Clinic/Group Practice | TX | TBD |
| O20240315000315 | O | Clinic/Group Practice | NC | TBD |
| O20240606001793 | O | Clinic/Group Practice | CA | TBD |
| O20241126001430 | O | Clinic/Group Practice | DC | TBD |
| O20250204001539 | O | Clinic/Group Practice | MA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35287)
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