Innovative Radiology, LLC
NPI 1700486776ActiveOrganization· Radiology, Diagnostic Radiology· West Des Moines, IA
Radiology, Diagnostic Radiology in West Des Moines, Iowa, registered in NPPES in October 2020. The authorized official on file is John Tentinger, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1700486776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2020 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Apr 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (WI) |
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