RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC – Diagnostic Radiology Physician, NPI 1093718496
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC
100 E CAMPUS VIEW BLVD STE 160
COLUMBUS, OH 432358634
Phone: (614) 396-4750
Fax: (614) 396-4742
Type: Mailing
Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin County, Ohio, 43214:43220, United States
STE 5360
COLUMBUS, OH 432143937
Phone: (614) 340-7747
Fax: (614) 340-7742
Type: Location
East Campus View Boulevard, Crosswoods, Columbus, Sharon, Franklin County, Ohio, 43235, United States
STE 160
COLUMBUS, OH 432354647
Phone: (614) 396-4750
Fax: (614) 396-4742
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: 2025-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
38
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20040309000317 | O | Clinic/Group Practice | OH | TBD |
| O20180119000732 | O | Clinic/Group Practice | NJ | 2024-04-30 |
| O20180216000833 | O | Clinic/Group Practice | CA | 2024-06-30 |
| O20180326001788 | O | Clinic/Group Practice | CO | 2024-05-31 |
| O20180405002699 | O | Clinic/Group Practice | UT | 2024-08-31 |
| O20180409000477 | O | Clinic/Group Practice | AZ | 2024-08-31 |
| O20180410002207 | O | Clinic/Group Practice | HI | 2025-10-31 |
| O20180411002073 | O | Clinic/Group Practice | MI | 2024-09-30 |
| O20180424001740 | O | Clinic/Group Practice | CT | 2024-09-30 |
| O20180424001975 | O | Clinic/Group Practice | MD | 2024-10-31 |
| O20180711001433 | O | Clinic/Group Practice | TN | 2023-07-31 |
| O20180824002038 | O | Clinic/Group Practice | FL | 2026-01-31 |
| O20181203000880 | O | Clinic/Group Practice | TX | 2023-12-31 |
| O20190301000864 | O | Clinic/Group Practice | DC | 2026-02-28 |
| O20190320000422 | O | Clinic/Group Practice | NC | 2026-03-31 |
| O20190412000664 | O | Clinic/Group Practice | MN | 2026-04-30 |
| O20190429001089 | O | Clinic/Group Practice | KS | 2026-05-31 |
| O20190607001058 | O | Clinic/Group Practice | WA | 2026-06-30 |
| O20190912000016 | O | Clinic/Group Practice | PA | 2026-07-31 |
| O20191022002026 | O | Clinic/Group Practice | NV | TBD |
| O20200506000167 | O | Clinic/Group Practice | MS | 2026-08-31 |
| O20210111003070 | O | Clinic/Group Practice | MO | 2026-09-30 |
| O20210204000100 | O | Clinic/Group Practice | IL | 2026-10-31 |
| O20210315000375 | O | Clinic/Group Practice | WI | TBD |
| O20210325001624 | O | Clinic/Group Practice | IA | TBD |
| O20210810003610 | O | Clinic/Group Practice | VA | TBD |
| O20210818001639 | O | Clinic/Group Practice | AL | TBD |
| O20210902001478 | O | Clinic/Group Practice | SC | TBD |
| O20211105001737 | O | Clinic/Group Practice | GA | TBD |
| O20211110001191 | O | Clinic/Group Practice | NY | TBD |
| O20211119001689 | O | Clinic/Group Practice | OK | TBD |
| O20211216001825 | O | Clinic/Group Practice | MA | TBD |
| O20220616000968 | O | Clinic/Group Practice | OR | TBD |
| O20230426000333 | O | Clinic/Group Practice | IN | TBD |
| O20230623002985 | O | Clinic/Group Practice | RI | TBD |
| O20230627003108 | O | Clinic/Group Practice | PR | TBD |
| O20251110000492 | O | Clinic/Group Practice | KY | TBD |
| O20251217000525 | O | Clinic/Group Practice | WV | 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 43235)
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