Radiant
NPI 1831555143ActiveOrganization· General Practice· Louisville, KY
General Practice in Louisville, Kentucky, registered in NPPES in January 2016. The authorized official on file is Tiffany Smith, PA-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831555143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2016 |
| Last updated in NPPES | Oct 3, 2022 |
| Certified by provider | Oct 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 22964 | KY |
| Physician Assistant | 363A00000X | PA1075 | KY |
| Nurse Practitioner, Family | 363LF0000X | 3007017 | KY |
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 (KY) |
|---|
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