SOUTHERN INDIANA IMAGING CONSULTANTS P C – Diagnostic Radiology Physician, NPI 1972598886
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTHERN INDIANA IMAGING CONSULTANTS P C
PO BOX 138
EVANSVILLE, IN 477010138
Phone: (812) 471-1591
Fax: (812) 471-6650
Type: Mailing
Saint Mary's Medical Center, 3700, Washington Avenue, Evansville, Vanderburgh County, Indiana, 47750, United States
EVANSVILLE, IN 477500001
Phone: (812) 485-4415
Fax: (812) 471-6650
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: 2023-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (194 days ago).
Enrollment records
3
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20040720001194 | O | Clinic/Group Practice | IN | 2025-11-30 |
| O20230622000970 | O | Clinic/Group Practice | MI | TBD |
| O20230901000349 | O | Clinic/Group Practice | MN | 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 47701)
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