MISSOURI DELTA RADIOLOGY GROUP, INC.
NPI 1205991072
Radiology - Diagnostic Radiology in Sikeston, MO

NPI Status: Active since December 22, 2006

Contact Information

1008 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-7342
Fax: (573) 472-3242

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 26D1000864
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-31-2028

About MISSOURI DELTA RADIOLOGY GROUP, INC.

This page provides the complete NPI Profile along with additional information for Missouri Delta Radiology Group, Inc., a provider established in Sikeston, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1205991072 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Missouri Delta Radiology Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mahmoud Ziaee Md (President)

NPI
1205991072
Provider Name
MISSOURI DELTA RADIOLOGY GROUP, INC.
Entity Type
Organization
Location Address
1008 N MAIN ST SIKESTON, MO 63801
Location Phone
(573) 472-7342
Location Fax
(573) 472-3242
Mailing Address
PO BOX 781 SIKESTON, MO 63801
Mailing Phone
(314) 821-8055
Mailing Fax
(573) 472-3242
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2006
Last Update Date
10-22-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAHMOUD ZIAEE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(573) 472-7342

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D1000864
Facility Type
Physician Office
Certificate Effective Date
February 01, 2026
Certificate Expiration Date
January 31, 2028
Laboratory Director
ALLISON SINDLE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Missouri Delta Radiology Group, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205991072, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 9 + 2 + 0 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205991072.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
1008 N MAIN ST
SIKESTON, MO 63801
Emergency Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Physician Assistant (Medical)
1008 N MAIN ST
SIKESTON, MO 63801
Anesthesiology
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Practitioner
1008 N MAIN ST
SIKESTON, MO 63801
Radiology (Diagnostic Radiology)
1008 N MAIN ST, RADIOLOGY DEPARTMENT
SIKESTON, MO 63801
Specialist/Technologist (Athletic Trainer)
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Anesthetist, Certified Registered
1008 N MAIN ST
SIKESTON, MO 63801
Emergency Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Dietitian, Registered
1008 N MAIN ST
SIKESTON, MO 63801
Dietitian, Registered
1008 N MAIN ST
SIKESTON, MO 63801
Emergency Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Practitioner (Family)
1008 N MAIN ST
SIKESTON, MO 63801
Nurse Practitioner (Family)
1008 N MAIN ST
SIKESTON, MO 63801
Social Worker (Clinical)
1008 N MAIN ST
SIKESTON, MO 63801
Social Worker (Clinical)
1008 N MAIN ST
SIKESTON, MO 63801
Internal Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Internal Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Family Medicine
1008 N MAIN ST
SIKESTON, MO 63801
Internal Medicine
1008 N MAIN ST
SIKESTON, MO 63801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205991072, enumerated as an "organization" on December 22, 2006.

The provider is located at 1008 N MAIN ST SIKESTON, MO 63801 and the phone number is (573) 472-7342.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.