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Prescott Radiologists LLP

NPI 1689636243ActiveOrganization· Specialist· Prescott, AZ

Specialist in Prescott, Arizona, registered in NPPES in April 2006. The authorized official on file is Michael J. Dangelo, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1689636243
StatusActive
Entity typeOrganization
NPI issuedApr 6, 2006
Last updated in NPPESOct 19, 2026
Certified by providerOct 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Specialist providers in Prescott

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