Radiology Associates of Nevada – Diagnostic Radiology Physician, NPI 1487606026
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Radiology Associates of Nevada
PO BOX 30077
DEPT 305
SALT LAKE CITY, UT 841300077
Phone: (855) 865-4435
Type: Mailing
5495 S RAINBOW BLVD STE 203
LAS VEGAS, NV 891181873
Phone: (702) 477-0772
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: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
8
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20040622001538 | O | Clinic/Group Practice | NV | 2023-07-31 |
| O20230907000068 | O | Clinic/Group Practice | TX | TBD |
| O20241003001174 | O | Clinic/Group Practice | NY | TBD |
| O20250701004513 | O | Clinic/Group Practice | HI | TBD |
| O20250902003517 | O | Clinic/Group Practice | DC | TBD |
| O20250909000962 | O | Clinic/Group Practice | IL | TBD |
| O20250919004005 | O | Clinic/Group Practice | PA | TBD |
| O20260312003267 | O | Clinic/Group Practice | OH | 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 84130)
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Reviews
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