DEFIANCE RADIOLOGIST ASSOCIATES, INC – Diagnostic Radiology Physician, NPI 1396712279
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEFIANCE RADIOLOGIST ASSOCIATES, INC
PO BOX 119
LIMA, OH 458020119
Phone: (419) 224-5707
Fax: (419) 223-2726
Type: Mailing
PO BOX 5789
LONGVIEW, TX 756085789
Phone: (903) 663-4800
Fax: (419) 223-2726
Type: Mailing
168 S Howell St
Hillsdale, MI 492422040
Phone: (517) 437-4451
Type: Location
1600 E RIVERVIEW AVE
NAPOLEON, OH 435459805
Phone: (419) 592-4015
Type: Location
Promedica Defiance Regional Hospital, 1200, Ralston Avenue, Williamstown, Defiance, Defiance County, Ohio, 43512, United States
DEFIANCE, OH 435121396
Phone: (419) 783-6955
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: 2025-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (314 days ago).
Enrollment records
3
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20051228000102 | O | Clinic/Group Practice | OH | 2025-07-31 |
| O20240320001399 | O | Clinic/Group Practice | MI | TBD |
| O20250321001517 | O | Clinic/Group Practice | NC | 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 45802)
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