RADIOLOGY AND NUCLEAR MEDICINE LLC – Diagnostic Radiology Physician, NPI 1699733162
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RADIOLOGY AND NUCLEAR MEDICINE LLC
PO BOX 219995
KANSAS CITY, MO 641219995
Phone: (785) 234-2306
Fax: (785) 234-2895
Type: Mailing
1500 SW 10TH AVE
TOPEKA, KS 666041301
Phone: (785) 354-6000
Fax: (706) 653-8732
Type: Location
1303, Southwest First American Place, Topeka, Shawnee County, Kansas, 66604, United States
TOPEKA, KS 666044059
Phone: (785) 234-2306
Fax: (785) 234-2550
Type: Location
Wichita Post Office, 7117, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States
WICHITA, KS 672012312
Phone: (785) 234-2306
Fax: (785) 234-2895
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: 2025-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (38 days ago).
Enrollment records
13
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20040329000886 | O | Clinic/Group Practice | KS | TBD |
| O20170601000240 | O | Clinic/Group Practice | TX | TBD |
| O20171003007298 | O | Clinic/Group Practice | MO | TBD |
| O20201102000366 | O | Clinic/Group Practice | HI | 2026-04-30 |
| O20210426002706 | O | Clinic/Group Practice | CA | TBD |
| O20220701001002 | O | Clinic/Group Practice | MI | TBD |
| O20220831001062 | O | Clinic/Group Practice | NY | TBD |
| O20220926001256 | O | Clinic/Group Practice | AR | TBD |
| O20220926001962 | O | Clinic/Group Practice | CO | TBD |
| O20220926002984 | O | Clinic/Group Practice | LA | TBD |
| O20230330002820 | O | Clinic/Group Practice | AL | TBD |
| O20240802003418 | O | Clinic/Group Practice | MA | TBD |
| O20250820001655 | O | Clinic/Group Practice | FL | 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 64121)
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