PREMIER MEDICAL IMAGING – Radiology Clinic/Center, NPI 1205946183
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PREMIER MEDICAL IMAGING
11730 West Ave
San Antonio, TX 782162524
Phone: (210) 366-0378
Fax: (210) 366-0456
Type: Location
2115, Pleasanton Road, San Antonio, Bexar County, Texas, 78221, United States
SUITE 102
SAN ANTONIO, TX 782211321
Phone: (210) 922-0016
Fax: (210) 922-0261
Type: Mailing
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: 2009-02-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| O20090227000288 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 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 |
|---|---|---|---|---|
| 70551 | Mri scan of brain without contrast | 11 | 11 | $0 |
Insurance plans in this area (ZIP 78216)
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