WHITE MOUNTAIN RADIOLOGY
NPI 1225018146
Radiology - Diagnostic Radiology in Show Low, AZ
About White Mountain Radiology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE MOUNTAIN RADIOLOGY (NPI 1225018146) is a healthcare organization registered as a diagnostic radiology in Show Low, Arizona and active in the NPI registry since January 2006. The organization maintains a secondary practice location in Show Low and lists Grant Berges, Md- President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
White Mountain Radiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to White Mountain Radiology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 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 57Albuquerque, NM 87102
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 White Mountain Radiology's NPI number?
The NPI number for White Mountain Radiology is 1225018146. It was assigned to this organization in the NPPES registry on January 18, 2006.
Where is White Mountain Radiology located?
White Mountain Radiology is located at 2200 E Show Low Lake Rd, Show Low, AZ 85901. The listed phone number is (928) 537-6338.
What is White Mountain Radiology's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is White Mountain Radiology enrolled in Medicare?
Yes. White Mountain Radiology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through White Mountain Radiology?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 2 Medicare specialties reassign their Medicare billing to White Mountain Radiology. 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 (56) and Interventional Radiology (1). Of these, 1 practice at this address and 3 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 White Mountain Radiology was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# White Mountain Radiology · NPI 1225018146
Diagnostic Radiology organization in Show Low, Arizona. Organization record, active in the CMS NPPES registry since January 18, 2006.
## Identity
- **NPI:** 1225018146 (Entity type: Organization)
- **Enumerated:** January 18, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Grant Berges, MD- PRESIDENT
## Practice location
- **Address:** 2200 E SHOW LOW LAKE RD, Show Low, AZ 85901-7881
- **Phone:** (928) 537-6338 · **Fax:** (928) 532-5947
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (56), Interventional Radiology (1); 1 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1225018146/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1225018146) · Data from the CMS NPPES public registry.