OSU RADIOLOGY LLC – Diagnostic Radiology Physician, NPI 1912956814
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OSU RADIOLOGY LLC
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Mailing
520 W 10TH AVE
COLUMBUS, OH 432101328
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Location
700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States
SUITE 260
COLUMBUS, OH 432021559
Phone:
Type: Mailing
Wexner Medical Center at The Ohio State University, 410, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States
COLUMBUS, OH 432101240
Phone: (614) 293-8315
Fax: (614) 293-6935
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: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (281 days ago).
Enrollment records
28
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 |
|---|---|---|---|---|
| O20050914000392 | O | Clinic/Group Practice | OH | TBD |
| O20200408002010 | O | Clinic/Group Practice | IL | 2025-08-31 |
| O20200414001201 | O | Clinic/Group Practice | RI | 2026-01-31 |
| O20200423002689 | O | Clinic/Group Practice | CA | 2026-02-28 |
| O20200424002275 | O | Clinic/Group Practice | OR | 2026-06-30 |
| O20200427001244 | O | Clinic/Group Practice | MD | 2026-07-31 |
| O20200501002866 | O | Clinic/Group Practice | GA | 2026-08-31 |
| O20200505000579 | O | Clinic/Group Practice | WA | 2026-09-30 |
| O20200513001774 | O | Clinic/Group Practice | TX | 2026-10-31 |
| O20200630000808 | O | Clinic/Group Practice | MI | TBD |
| O20201119001362 | O | Clinic/Group Practice | PA | TBD |
| O20210125003046 | O | Clinic/Group Practice | SC | TBD |
| O20221011001440 | O | Clinic/Group Practice | CO | TBD |
| O20221024001803 | O | Clinic/Group Practice | MA | TBD |
| O20230613002400 | O | Clinic/Group Practice | CT | TBD |
| O20231017001728 | O | Clinic/Group Practice | OK | TBD |
| O20231229001883 | O | Clinic/Group Practice | VA | TBD |
| O20240405002615 | O | Clinic/Group Practice | FL | TBD |
| O20240507001298 | O | Clinic/Group Practice | TN | TBD |
| O20240726000698 | O | Clinic/Group Practice | DC | TBD |
| O20241227000379 | O | Clinic/Group Practice | NC | TBD |
| O20250610000362 | O | Clinic/Group Practice | AZ | TBD |
| O20250710000431 | O | Clinic/Group Practice | NY | TBD |
| O20251027003906 | O | Clinic/Group Practice | NH | TBD |
| O20251215003133 | O | Clinic/Group Practice | MO | TBD |
| O20260112002133 | O | Clinic/Group Practice | WI | TBD |
| O20260121001678 | O | Clinic/Group Practice | WV | TBD |
| O20260224001432 | O | Clinic/Group Practice | ID | 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 43202)
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