MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1255872552
Radiology - Diagnostic Radiology in Simi Valley, CA
About Modesto Radiological Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI 1255872552) is a healthcare organization registered as a diagnostic radiology in Simi Valley, California and active in the NPI registry since March 2017. The organization lists Mark E Moore, Cfo/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Modesto Radiological Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
101Medicare enrollment records show 101 clinicians reassign Medicare billing to Modesto Radiological Medical Group, Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 101Rolling Hills Estates, CA 90274
Mission Viejo, CA 92691
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 Modesto Radiological Medical Group, Inc's NPI number?
The NPI number for Modesto Radiological Medical Group, Inc is 1255872552. It was assigned to this organization in the NPPES registry on March 20, 2017.
Where is Modesto Radiological Medical Group, Inc located?
Modesto Radiological Medical Group, Inc is located at 3421 Deep Waters Ct, Simi Valley, CA 93065. The listed phone number is (559) 455-4009.
What is Modesto Radiological Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Modesto Radiological Medical Group, Inc enrolled in Medicare?
Yes. Modesto Radiological Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modesto Radiological Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 4 Medicare specialties reassign their Medicare billing to Modesto Radiological 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 (91), Interventional Radiology (8) and Neurosurgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Modesto Radiological Medical Group, Inc was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Modesto Radiological Medical Group, Inc · NPI 1255872552
Diagnostic Radiology organization in Simi Valley, California. Organization record, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1255872552 (Entity type: Organization)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Mark Moore, CFO/COO
## Practice location
- **Address:** 3421 DEEP WATERS CT, Simi Valley, CA 93065-0587
- **Phone:** (559) 455-4009 · **Fax:** (916) 533-0313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 101 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (91), Interventional Radiology (8), Neurosurgery (1); [full list](https://npiprofile.com/npi/1255872552/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1255872552) · Data from the CMS NPPES public registry.