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RADIOLOGY IMAGING OF NEBRASKA, LLC
NPI 1184869901
Radiology - Diagnostic Radiology in Scottsbluff, NE

Active since December 08, 2008
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 635-3711(303) 630-1120 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2021, Aug 15, 2019, Nov 1, 2017 and 1 more (4 updates tracked since 2016).

About Radiology Imaging Of Nebraska, Llc NPPES

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

RADIOLOGY IMAGING OF NEBRASKA, LLC (NPI 1184869901) is a healthcare organization registered as a diagnostic radiology in Scottsbluff, Nebraska and active in the NPI registry since December 2008. The organization lists Graceann Grillo, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1184869901
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY IMAGING OF NEBRASKA, LLC
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address10800 E Geddes Ave Ste 300Englewood, CO 80112-3895 · (303) 761-9190 · Fax (720) 874-4462
Phone(308) 635-3711
Fax(303) 630-1120
Organization SubpartNo
Authorized OfficialGraceann GrilloCredentialing Supervisor · (720) 493-3716
Enumeration DateDecember 8, 2008
Last NPPES UpdateMarch 31, 20244 updates tracked since enumeration
NPPES CertifiedMarch 31, 2024
✔ NPI 1184869901 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.
4021 AVENUE B, Scottsbluff, NE 69361
Open in Google Maps ↗

Other Identifiers 5

Medicaid10025709000NE
Medicaid100262777-00NE
Medicaid100262778-00NE
Medicaid1184869901IA
Medicaid1184869901MO

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)

Radiology Imaging Of Nebraska, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

137

Medicare enrollment records show 137 clinicians reassign Medicare billing to Radiology Imaging Of Nebraska, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology115
Interventional Radiology21
Nuclear Medicine1

Nearest to this location (20)

See all 137
Gitesh Chheda, M.D.
Diagnostic Radiology
NPI 1730312224
4021 AVENUE B
Scottsbluff, NE 69361
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Stephen Johnson, M.D.
Diagnostic Radiology
NPI 1235126780
4021 AVENUE B
Scottsbluff, NE 69361
(303) 761-9190
✔ PECOSSame address
Michael Yung, M.D.
Diagnostic Radiology
NPI 1346534294
4021 AVENUE B
Scottsbluff, NE 69361
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Sean Walker, M.D.
Diagnostic Radiology
NPI 1568758878
4021 AVENUE B
Scottsbluff, NE 69361
(303) 761-9190
✔ PECOS✔ Accepts Medicare3.3 mi
Samuel Fuller, MD
Diagnostic Radiology
NPI 1093730749
1801 16TH ST
Greeley, CO 80631
(303) 761-9190
✔ PECOS✔ Accepts Medicare118 mi
Gregory Reuter, M.D.
Diagnostic Radiology
NPI 1114907425
1801 16TH ST
Greeley, CO 80631
(303) 761-9190
✔ PECOS✔ Accepts Medicare122 mi
Aron Splichal, D.O.
Diagnostic Radiology
NPI 1669699278
1801 16TH ST
Greeley, CO 80631
(303) 761-9190
✔ PECOS✔ Accepts Medicare122 mi
Marjan Bolouri, M.D.
Diagnostic Radiology
NPI 1790930535
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare163 mi
Jennifer Hankinson, M.D.
Diagnostic Radiology
NPI 1225158157
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare163 mi
Michael Lin, M.D.
Diagnostic Radiology
NPI 1982850111
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare163 mi
David Zander, MD
Diagnostic Radiology
NPI 1730342841
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare163 mi
Jean Michel Grillon, M.D.
Diagnostic Radiology
NPI 1609253533
2045 N FRANKLIN ST
Denver, CO 80205
(303) 338-4545
✔ PECOS✔ Accepts Medicare166 mi
Benjamin Kassanoff, M.D.
Interventional Radiology
NPI 1356345680
501 E HAMPDEN AVE
Englewood, CO 80113
(303) 761-9190
✔ PECOS✔ Accepts Medicare172 mi
Eric Malden, M.D.
Interventional Radiology
NPI 1356395792
501 E HAMPDEN AVE
Englewood, CO 80113
(303) 761-9190
✔ PECOS✔ Accepts Medicare172 mi
Gregory Martin, M.D.
Interventional Radiology
NPI 1457529927
501 E HAMPDEN AVE
Englewood, CO 80113
(303) 761-9190
✔ PECOS✔ Accepts Medicare172 mi
Dominic Yee, M.D.
Interventional Radiology
NPI 1750334884
501 E HAMPDEN AVE
Englewood, CO 80113
(303) 761-9190
✔ PECOS✔ Accepts Medicare172 mi
Benjamin Atchie, D.O.
Interventional Radiology
NPI 1134402415
499 E. HAMPDEN AVENUE SUITE 380
Englewood, CO 80113
(720) 493-3345
✔ PECOS✔ Accepts Medicare172 mi
Richard Bellon, M.D.
Interventional Radiology
NPI 1619953890
499 E HAMPDEN AVE SUITE 380
Englewood, CO 80113
(720) 493-3345
✔ PECOS✔ Accepts Medicare172 mi
Donald Frei, M.D.
Interventional Radiology
NPI 1619954450
499 E HAMPDEN AVE STE 380
Englewood, CO 80113
(720) 493-3345
✔ PECOS✔ Accepts Medicare172 mi
Joseph Tan, M.D.
Nuclear Medicine
NPI 1588872303
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts Medicare174 mi
See all 137 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 Radiology Imaging Of Nebraska, LLC's NPI number?

The NPI number for Radiology Imaging Of Nebraska, LLC is 1184869901. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Radiology Imaging Of Nebraska, LLC located?

Radiology Imaging Of Nebraska, LLC is located at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 635-3711.

What is Radiology Imaging Of Nebraska, LLC's specialty?

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

Is Radiology Imaging Of Nebraska, LLC enrolled in Medicare?

Yes. Radiology Imaging Of Nebraska, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiology Imaging Of Nebraska, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 137 clinicians in 3 Medicare specialties reassign their Medicare billing to Radiology Imaging Of Nebraska, 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 (115), Interventional Radiology (21) and Nuclear Medicine (1). Of these, 3 practice at this address and 4 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 Radiology Imaging Of Nebraska, LLC was last updated on March 31, 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.