CENTRAL TEXAS RADIOLOGICAL ASSOCIATES PA – Diagnostic Radiology Physician, NPI 1861452864
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CENTRAL TEXAS RADIOLOGICAL ASSOCIATES PA
Southwest 4th Street, Pine Ridge, Longview, Lee's Summit, Jackson County, Missouri, 64081, United States
LONGVIEW, TX 756055143
Phone: (903) 663-4800
Fax: (903) 663-7394
Type: Mailing
Providence Health Center, 6901, Medical Parkway, Waco, McLennan County, Texas, 76712, United States
RADIOLOGY DEPARTMENT
WACO, TX 767127910
Phone: (254) 751-4299
Fax: (903) 663-7394
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: 2026-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 22 Medicare enrollment records; no due dates published yet.
Enrollment records
22
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 |
|---|---|---|---|---|
| O20070511000036 | O | Clinic/Group Practice | TX | TBD |
| O20201020002871 | O | Clinic/Group Practice | AZ | TBD |
| O20201021002549 | O | Clinic/Group Practice | WA | TBD |
| O20201022001100 | O | Clinic/Group Practice | CA | TBD |
| O20201022003941 | O | Clinic/Group Practice | FL | TBD |
| O20201103003008 | O | Clinic/Group Practice | DC | TBD |
| O20230411001652 | O | Clinic/Group Practice | MA | TBD |
| O20230417000756 | O | Clinic/Group Practice | AR | TBD |
| O20250227003068 | O | Clinic/Group Practice | CO | TBD |
| O20250327002241 | O | Clinic/Group Practice | IL | TBD |
| O20250331000669 | O | Clinic/Group Practice | NY | TBD |
| O20250416002914 | O | Clinic/Group Practice | PR | TBD |
| O20250417001141 | O | Clinic/Group Practice | MO | TBD |
| O20250417001280 | O | Clinic/Group Practice | MI | TBD |
| O20250422000109 | O | Clinic/Group Practice | SC | TBD |
| O20250423000536 | O | Clinic/Group Practice | KS | TBD |
| O20250425000753 | O | Clinic/Group Practice | TN | TBD |
| O20250505001108 | O | Clinic/Group Practice | PA | TBD |
| O20250506001134 | O | Clinic/Group Practice | NJ | TBD |
| O20250711001933 | O | Clinic/Group Practice | WI | TBD |
| O20250714001953 | O | Clinic/Group Practice | VI | TBD |
| O20260128001133 | O | Clinic/Group Practice | ME | 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 75605)
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