EVANSVILLE RADIOLOGY PC – Diagnostic Radiology Physician, NPI 1891782983
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EVANSVILLE RADIOLOGY PC
350, West Columbia Street, Evansville, Vanderburgh County, Indiana, 47710, United States
SUITE 420
EVANSVILLE, IN 477101782
Phone: (812) 422-3254
Fax: (812) 426-6388
Mailing address matches the actual address.
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: 2026-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
13
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20040729001191 | O | Clinic/Group Practice | IN | 2024-08-31 |
| O20180502002870 | O | Clinic/Group Practice | MO | TBD |
| O20190912003511 | O | Clinic/Group Practice | CA | 2025-10-31 |
| O20200526001556 | O | Clinic/Group Practice | PR | 2026-05-31 |
| O20200803002559 | O | Clinic/Group Practice | KY | 2026-06-30 |
| O20230419001783 | O | Clinic/Group Practice | TN | TBD |
| O20230816003816 | O | Clinic/Group Practice | HI | TBD |
| O20231205002978 | O | Clinic/Group Practice | VA | TBD |
| O20240715002721 | O | Clinic/Group Practice | AZ | TBD |
| O20240927001323 | O | Clinic/Group Practice | DE | TBD |
| O20241008003526 | O | Clinic/Group Practice | FL | TBD |
| O20241009002919 | O | Clinic/Group Practice | OK | TBD |
| O20260213003613 | O | Clinic/Group Practice | NC | 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 47710)
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