ROSEBURG RADIOLOGISTS PC – Diagnostic Radiology Physician, NPI 1700876117
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROSEBURG RADIOLOGISTS PC
Roseburg Post Office, 519, Southeast Kane Street, Roseburg, Douglas County, Oregon, 97470, United States
ROSEBURG, OR 974700361
Phone: (541) 673-4303
Fax: (541) 440-9739
Type: Mailing
1813 W HARVARD AVE STE 431
ROSEBURG, OR 974718705
Phone: (541) 673-4303
Fax: (541) 440-9739
Type: Location
PO BOX 1656
EVANSVILLE, IN 477060057
Phone: (541) 673-4303
Fax: (541) 440-9739
Type: Mailing
1813, West Harvard Avenue, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 974712752
Phone: (541) 673-4303
Fax: (541) 440-9739
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: 2026-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 20 Medicare enrollment records; no due dates published yet.
Enrollment records
20
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 |
|---|---|---|---|---|
| O20040421000595 | O | Clinic/Group Practice | OR | TBD |
| O20220525000456 | O | Clinic/Group Practice | FL | TBD |
| O20220531001586 | O | Clinic/Group Practice | TN | TBD |
| O20220531001799 | O | Clinic/Group Practice | NJ | TBD |
| O20220531001822 | O | Clinic/Group Practice | NM | TBD |
| O20220531001923 | O | Clinic/Group Practice | TX | TBD |
| O20220601002565 | O | Clinic/Group Practice | CT | TBD |
| O20220602000777 | O | Clinic/Group Practice | MA | TBD |
| O20220603000995 | O | Clinic/Group Practice | SC | TBD |
| O20220603001192 | O | Clinic/Group Practice | NC | TBD |
| O20220604000118 | O | Clinic/Group Practice | NY | TBD |
| O20220608002034 | O | Clinic/Group Practice | MI | TBD |
| O20220621002582 | O | Clinic/Group Practice | AZ | TBD |
| O20220627001715 | O | Clinic/Group Practice | ID | TBD |
| O20220627001774 | O | Clinic/Group Practice | NV | TBD |
| O20220627003499 | O | Clinic/Group Practice | CA | TBD |
| O20220725000740 | O | Clinic/Group Practice | VA | TBD |
| O20220804000638 | O | Clinic/Group Practice | WA | TBD |
| O20240611000222 | O | Clinic/Group Practice | OH | TBD |
| O20260310003639 | O | Clinic/Group Practice | PR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97470)
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