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SULPHUR SPRINGS IMAGING CENTER LTD
NPI 1063293868
Radiology - Diagnostic Radiology in Sulphur Springs, TX

Active since October 09, 2023CLIA 45D2106040 · Waiver
109 MEDICAL CIR, SULPHUR SPRINGS, TX 75482(903) 919-5220 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2024, Oct 9, 2023 (2 updates tracked since 2023).

About Sulphur Springs Imaging Center Ltd NPPES

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

SULPHUR SPRINGS IMAGING CENTER LTD (NPI 1063293868) is a healthcare organization registered as a diagnostic radiology in Sulphur Springs, Texas and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Stephanie Spann, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063293868
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSULPHUR SPRINGS IMAGING CENTER LTD
Location Address109 MEDICAL CIRSulphur Springs, TX 75482-2138
Mailing AddressPo Box 100Paris, TX 75461-0100 · (903) 919-5220
Phone(903) 919-5220
Organization SubpartNo
Authorized OfficialStephanie SpannAuthorized Official · (903) 900-8689
Enumeration DateOctober 9, 2023
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1063293868 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.
109 MEDICAL CIR, Sulphur Springs, TX 75482
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sulphur Springs Imaging Center Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Sulphur Springs Imaging Center Ltd, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Benjamin Clifford, MD
Diagnostic Radiology
NPI 1902394430
3015 NE LOOP 286
Paris, TX 75460
(903) 785-8521
✔ PECOS✔ Accepts Medicare36 mi
Lawrence Fan, M.D.
Diagnostic Radiology
NPI 1396876025
3015 NE LOOP 286
Paris, TX 75460
(903) 785-8598
✔ PECOS✔ Accepts Medicare36 mi
Michael Hartman, M.D.
Diagnostic Radiology
NPI 1184658676
3015 NE LOOP 286
Paris, TX 75460
(903) 785-5500
✔ PECOS✔ Accepts Medicare36 mi
Douglas Holder, M.D.
Diagnostic Radiology
NPI 1982629283
3015 NE LOOP 286
Paris, TX 75460
(903) 785-5500
✔ PECOS✔ Accepts Medicare36 mi
Richard Ozmun, M.D.
Diagnostic Radiology
NPI 1518962745
3015 NE LOOP 286
Paris, TX 75460
(903) 785-8521
✔ PECOS✔ Accepts Medicare36 mi
Samir Shah
Diagnostic Radiology
NPI 1326574864
3015 NE LOOP 286
Paris, TX 75460
(903) 785-8521
✔ PECOS✔ Accepts Medicare36 mi
Stephanie Spann
Diagnostic Radiology
NPI 1790172815
3015 NE LOOP 286
Paris, TX 75460
(903) 783-1282
✔ PECOS✔ Accepts Medicare36 mi

Source: 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 45D2106040

Sulphur Springs Imaging Center · Sulphur Springs, TX
Active · expires Dec 8, 2027
CLIA Number45D2106040
Laboratory TypeOutpatient Imaging
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorMichael Hartman
Laboratory Phone(903) 919-5220
Laboratory LocationSulphur Springs Imaging Center109 Medical Circle, Sulphur Springs, TX 75482
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sulphur Springs Imaging Center Ltd's NPI number?

The NPI number for Sulphur Springs Imaging Center Ltd is 1063293868. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Sulphur Springs Imaging Center Ltd located?

Sulphur Springs Imaging Center Ltd is located at 109 Medical Cir, Sulphur Springs, TX 75482. The listed phone number is (903) 919-5220.

What is Sulphur Springs Imaging Center Ltd's specialty?

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

Is Sulphur Springs Imaging Center Ltd enrolled in Medicare?

Yes. Sulphur Springs Imaging Center Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sulphur Springs Imaging Center Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Sulphur Springs Imaging Center Ltd. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sulphur Springs Imaging Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2106040) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sulphur Springs Imaging Center Ltd accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Sulphur Springs Imaging Center Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sulphur Springs Imaging Center Ltd was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.