BROAD 64 IMAGING LLC – Radiology Clinic/Center, NPI 1316015985
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BROAD 64 IMAGING LLC
PO BOX 631146
CINCINNATI, OH 452631146
Phone: (513) 952-5002
Type: Mailing
West Broad Street, Jackson Ward, Richmond, Richmond City, Virginia, 23284, United States
SUITE B - GROUND FLOOR
RICHMOND, VA 23230
Phone: (804) 281-0215
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.
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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: 2008-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20081120000746 | O | Independent Diagnostic Testing Facility (Idtf) | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 4,473 | 81 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,958 | 175 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 1,276 | 83 | $0 |
| 77067 | Screening mammography | 349 | 349 | $0 |
| 71046 | X-ray of chest, 2 views | 330 | 316 | $0 |
Insurance plans in this area (ZIP 45263)
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