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DELTA RADIOLOGY MEDICAL GROUP, INC.
NPI 1043229271
Radiology - Diagnostic Radiology in Lodi, CA

Active since August 05, 2006
1121 W VINE ST, SUITE 15, LODI, CA 95240(209) 334-4416(209) 371-0119 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Delta Radiology Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELTA RADIOLOGY MEDICAL GROUP, INC. (NPI 1043229271) is a healthcare organization registered as a diagnostic radiology in Lodi, California and active in the NPI registry since August 2006. The organization lists Terry Goldberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043229271
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDELTA RADIOLOGY MEDICAL GROUP, INC.
Location Address1121 W VINE ST, SUITE 15Lodi, CA 95240-5137
Mailing AddressPo Box 15498Sacramento, CA 95851-0498 · (559) 455-4000 · Fax (559) 455-4007
Phone(209) 334-4416
Fax(209) 371-0119
Organization SubpartNo
Authorized OfficialTerry GoldbergCeo · (209) 334-4416
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 11, 2007
✔ NPI 1043229271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1121 W VINE ST, Lodi, CA 95240
Open in Google Maps ↗

Other Identifiers 3

MedicaidZZZ47020ZCA
Medicare PINZZZ47020ZCA
Medicare PINCP7019CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delta Radiology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Delta Radiology Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology23
Cardiovascular Disease (Cardiology)5
Interventional Radiology5
Interventional Cardiology1

Nearest to this location (20)

See all 34
Frank Hartwick, MD
Diagnostic Radiology
NPI 1336158567
1121 W VINE STREET SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOS✔ Accepts MedicareSame address
Richard Rankin, MD
Diagnostic Radiology
NPI 1881603017
1121 W VINE STREET SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOSSame address
Michael Rigdon, MD
Diagnostic Radiology
NPI 1629173935
1121 W VINE ST SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOS✔ Accepts MedicareSame address
Grant Rogero, MD
Diagnostic Radiology
NPI 1154330389
1121 W VINE ST SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOS✔ Accepts MedicareSame address
Bader Abu Ghalyoun, MD
Cardiovascular Disease (Cardiology)
NPI 1740492214
1801 E MARCH LN
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Alaa Gabi, MD
Interventional Cardiology
NPI 1114281524
1801 E MARCH LN
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Habib Habib, M.D
Cardiovascular Disease (Cardiology)
NPI 1831471093
1801 E MARCH LN STE D400
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Haytham Aljoudi, MD
Cardiovascular Disease (Cardiology)
NPI 1699969287
1801 E MARCH LN STE D400
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Manreet Basra, M.D.
Cardiovascular Disease (Cardiology)
NPI 1114157484
1801 E MARCH LN STE D400
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Daren Primack, MD
Cardiovascular Disease (Cardiology)
NPI 1215905260
1801 E MARCH LN STE. D400
Stockton, CA 95210
(209) 464-3615
✔ PECOS✔ Accepts Medicare8.2 mi
Pavan Khanna, M.D.
Diagnostic Radiology
NPI 1891936795
1800 N CALIFORNIA ST
Stockton, CA 95204
(209) 467-6363
✔ PECOS✔ Accepts Medicare10 mi
Tony Ha, MD
Interventional Radiology
NPI 1477841070
500 W HOSPITAL RD
French Camp, CA 95231
(209) 468-6000
✔ PECOS✔ Accepts Medicare16 mi
Tarundeep Grewal, MD
Diagnostic Radiology
NPI 1669964938
250 CHERRY LN STE 116
Manteca, CA 95337
(209) 647-2184
✔ PECOS✔ Accepts Medicare22 mi
Garth Harley, MD
Diagnostic Radiology
NPI 1194715078
1530 BESSIE AVE SUITE 108
Tracy, CA 95376
(209) 342-2300
✔ PECOS✔ Accepts Medicare27 mi
Keith Kwok, M.D.
Diagnostic Radiology
NPI 1104807569
1530 NORTH BESSIE AVENUE SUITE 108
Tracy, CA 95376
(209) 833-2393
✔ PECOS✔ Accepts Medicare27 mi
Robert Lim, M.D.
Diagnostic Radiology
NPI 1669430518
1530 BESSIE AVE SUITE 108
Tracy, CA 95376
(209) 833-2393
✔ PECOS✔ Accepts Medicare27 mi
Richard Porzio, MD
Diagnostic Radiology
NPI 1053301945
1530 BESSIE AVE STE 108
Tracy, CA 95376
(209) 342-2300
✔ PECOS✔ Accepts Medicare27 mi
Mario Sattah, MD
Interventional Radiology
NPI 1063444768
1530 BESSIE AVE SUITE 108
Tracy, CA 95376
(209) 833-2393
✔ PECOS✔ Accepts Medicare27 mi
Arian Nikpour, MD, MPH
Interventional Radiology
NPI 1205279726
4860 Y ST STE 3100
Sacramento, CA 95817
(916) 703-2261
✔ PECOS✔ Accepts Medicare31 mi
Ismael Moreno, MD
Interventional Radiology
NPI 1679716278
2825 CAPITOL AVE
Sacramento, CA 95816
(916) 887-1140
✔ PECOS✔ Accepts Medicare32 mi
See all 34 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Delta Radiology Medical Group, Inc.'s NPI number?

The NPI number for Delta Radiology Medical Group, Inc. is 1043229271. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Delta Radiology Medical Group, Inc. located?

Delta Radiology Medical Group, Inc. is located at 1121 W Vine St Suite 15, Lodi, CA 95240. The listed phone number is (209) 334-4416.

What is Delta Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Delta Radiology Medical Group, Inc. enrolled in Medicare?

Yes. Delta Radiology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Radiology Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 4 Medicare specialties reassign their Medicare billing to Delta Radiology Medical Group, Inc.. 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 (23), Cardiovascular Disease (Cardiology) (5) and Interventional Radiology (5). Of these, 4 practice at this address and 10 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 Delta Radiology Medical Group, Inc. was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.