UNIVERSAL IMAGING SERVICES – Diagnostic Radiology Physician, NPI 1164677126
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UNIVERSAL IMAGING SERVICES
PO BOX 2467
KEARNEY, NE 688482467
Phone: (308) 865-2231
Fax: (308) 338-1671
Type: Mailing
3610 RICHMOND CIR STE 100
GRAND ISLAND, NE 688033910
Phone: (308) 398-6400
Fax: (308) 398-6408
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: 2025-12-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
27
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20081216000044 | O | Clinic/Group Practice | NE | 2024-06-30 |
| O20090126000033 | O | Clinic/Group Practice | KS | TBD |
| O20090316000542 | O | Clinic/Group Practice | TX | TBD |
| O20100326000515 | O | Clinic/Group Practice | IA | 2026-09-30 |
| O20100329001129 | O | Clinic/Group Practice | AZ | TBD |
| O20100518000173 | O | Clinic/Group Practice | TN | 2023-10-31 |
| O20110527000436 | O | Clinic/Group Practice | FL | TBD |
| O20110909002849 | O | Clinic/Group Practice | CA | 2026-08-31 |
| O20140617000451 | O | Clinic/Group Practice | CO | 2024-01-31 |
| O20150601001646 | O | Clinic/Group Practice | WA | 2024-02-29 |
| O20170516000303 | O | Clinic/Group Practice | MO | TBD |
| O20191030001421 | O | Clinic/Group Practice | MA | 2024-10-31 |
| O20191119002510 | O | Clinic/Group Practice | UT | 2026-04-30 |
| O20191121000391 | O | Clinic/Group Practice | DC | 2026-05-31 |
| O20200806001728 | O | Clinic/Group Practice | MD | 2026-06-30 |
| O20200810001949 | O | Clinic/Group Practice | IN | 2026-07-31 |
| O20211105000809 | O | Clinic/Group Practice | NV | TBD |
| O20221208001489 | O | Clinic/Group Practice | WY | TBD |
| O20240111002067 | O | Clinic/Group Practice | PA | TBD |
| O20240828000081 | O | Clinic/Group Practice | GA | TBD |
| O20240916001337 | O | Clinic/Group Practice | NY | TBD |
| O20241008001053 | O | Clinic/Group Practice | NM | TBD |
| O20241125001438 | O | Clinic/Group Practice | NC | TBD |
| O20241218000616 | O | Clinic/Group Practice | AL | TBD |
| O20250204001004 | O | Clinic/Group Practice | OH | TBD |
| O20250815001391 | O | Clinic/Group Practice | ME | TBD |
| O20251226001304 | O | Clinic/Group Practice | NJ | 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 68848)
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