LOUISVILLE RADIOLOGY IMAGING CONSULTANTS, PLLC – Diagnostic Radiology Physician, NPI 1639115447
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LOUISVILLE RADIOLOGY IMAGING CONSULTANTS, PLLC
1201 PLEASANT VALLEY RD
OWENSBORO, KY 423039811
Phone: (708) 915-5671
Type: Location
West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
SUITE 110
HARVEY, IL 604264260
Phone: (708) 829-1959
Fax: (630) 701-7765
Type: Mailing
PO BOX 208787
DALLAS, TX 753208787
Phone: (270) 417-6126
Type: Mailing
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
34
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20060907000081 | O | Clinic/Group Practice | KY | TBD |
| O20130321000039 | O | Clinic/Group Practice | GA | TBD |
| O20130411000254 | O | Clinic/Group Practice | MA | TBD |
| O20130517000055 | O | Clinic/Group Practice | IL | TBD |
| O20140303000190 | O | Clinic/Group Practice | TN | TBD |
| O20150806010621 | O | Clinic/Group Practice | PA | 2023-08-31 |
| O20180816000893 | O | Clinic/Group Practice | FL | TBD |
| O20190311000158 | O | Clinic/Group Practice | CO | 2024-05-31 |
| O20190312003110 | O | Clinic/Group Practice | OH | 2024-06-30 |
| O20190320000830 | O | Clinic/Group Practice | MI | TBD |
| O20190502000456 | O | Clinic/Group Practice | DC | 2024-07-31 |
| O20190506000105 | O | Clinic/Group Practice | CA | 2024-09-30 |
| O20190606001230 | O | Clinic/Group Practice | HI | 2024-10-31 |
| O20200219001113 | O | Clinic/Group Practice | RI | 2025-12-31 |
| O20200219001670 | O | Clinic/Group Practice | SC | 2026-02-28 |
| O20200305001929 | O | Clinic/Group Practice | WV | 2026-03-31 |
| O20200312001660 | O | Clinic/Group Practice | TX | 2026-06-30 |
| O20200313000417 | O | Clinic/Group Practice | MT | 2026-07-31 |
| O20200323000357 | O | Clinic/Group Practice | MO | 2026-08-31 |
| O20200328000008 | O | Clinic/Group Practice | NV | 2026-09-30 |
| O20200727000959 | O | Clinic/Group Practice | AL | 2026-10-31 |
| O20200817002075 | O | Clinic/Group Practice | OK | TBD |
| O20201201002959 | O | Clinic/Group Practice | MD | TBD |
| O20210219002160 | O | Clinic/Group Practice | KS | TBD |
| O20210302002010 | O | Clinic/Group Practice | MN | TBD |
| O20210513000212 | O | Clinic/Group Practice | ME | 2026-05-31 |
| O20221128002031 | O | Clinic/Group Practice | CT | TBD |
| O20230516001972 | O | Clinic/Group Practice | VA | TBD |
| O20230927003012 | O | Clinic/Group Practice | WA | TBD |
| O20240108000971 | O | Clinic/Group Practice | NC | TBD |
| O20240401000584 | O | Clinic/Group Practice | NH | TBD |
| O20240417001608 | O | Clinic/Group Practice | WI | TBD |
| O20250918002687 | O | Clinic/Group Practice | NY | TBD |
| O20260227002062 | O | Clinic/Group Practice | DE | 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 42303)
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