Three Rivers Radiology, LLC
NPI 1306286513ActiveOrganization· Radiology, Vascular & Interventional Radiology· Fort Wayne, IN
Radiology, Vascular & Interventional Radiology in Fort Wayne, Indiana, registered in NPPES in July 2013. The authorized official on file is Carey Gross, President & Treasurer.
Overview
| NPI | 1306286513 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2013 |
| Last updated in NPPES | Jul 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 99057753A | IN |
| Anesthesiology | 207L00000X | 99057753A | IN |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | 99057753A | IN |
| Radiology, Body Imaging | 2085B0100X | 99057753A | IN |
| Radiology, Diagnostic Neuroimaging | 2085D0003X | 99057753A | IN |
| Radiology, Neuroradiology | 2085N0700X | 99057753A | IN |
| Radiology, Diagnostic Radiology | 2085R0202X | 99057753A | IN |
| Radiology, Diagnostic Ultrasound | 2085U0001X | 99057753A | IN |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 99057753A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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