BELLEFONTAINE RADIOLOGIST ASSOCIATES, INC – Diagnostic Radiology Physician, NPI 1790765204
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BELLEFONTAINE RADIOLOGIST ASSOCIATES, INC
Mary Rutan Hospital, 205, East Palmer Road, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States
BELLEFONTAINE, OH 433112281
Phone: (937) 592-4015
Type: Location
Lima Post Office, 7275, West Main Street, Village of Lima, Town of Lima, Livingston County, New York, 14485, United States
LIMA, OH 458021049
Phone: (419) 224-5707
Fax: (419) 229-0040
Type: Mailing
PO BOX 5500
LONGVIEW, TX 756085500
Phone: (903) 663-4800
Fax: (419) 229-0040
Type: Mailing
525 N EASTOWN RD
LIMA, OH 458072268
Phone: (419) 998-4498
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: 2004-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (287 days ago).
Enrollment records
1
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20041116001025 | O | Clinic/Group Practice | OH | 2025-08-31 |
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 43311)
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