PENRAD IMAGING LLC
NPI 1003906868
Clinic/Center - Radiology in Colorado Springs, CO
About Penrad Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENRAD IMAGING LLC (NPI 1003906868) is a healthcare organization registered as a radiology in Colorado Springs, Colorado and active in the NPI registry since October 2006. The organization lists Derek Scott Bergeson, Radiologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penrad Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Penrad Imaging LLC, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D1090669
Penrad Imaging · Colorado Springs, COFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penrad Imaging LLC's NPI number?
The NPI number for Penrad Imaging LLC is 1003906868. It was assigned to this organization in the NPPES registry on October 13, 2006.
Where is Penrad Imaging LLC located?
Penrad Imaging LLC is located at 3050 N Circle Dr, Colorado Springs, CO 80909. The listed phone number is (719) 785-9001.
What is Penrad Imaging LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Penrad Imaging LLC enrolled in Medicare?
Yes. Penrad Imaging LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Penrad Imaging LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 2 Medicare specialties reassign their Medicare billing to Penrad Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (32) and Nurse Practitioner (1). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Penrad Imaging LLC was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Penrad Imaging Llc · NPI 1003906868
Radiology organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1003906868 (Entity type: Organization)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Derek Bergeson, RADIOLOGIST
## Practice location
- **Address:** 3050 N CIRCLE DR, Colorado Springs, CO 80909-1175
- **Phone:** (719) 785-9001 · **Fax:** (719) 867-7900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (32), Nurse Practitioner (1); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1003906868/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2020
- **Other identifiers:** Medicaid 04143046 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003906868) · Data from the CMS NPPES public registry.