FOUR CORNERS RADIOLOGY ASSOCIATES PC
NPI 1265475230
Radiology - Diagnostic Radiology in Farmington, NM
About Four Corners Radiology Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUR CORNERS RADIOLOGY ASSOCIATES PC (NPI 1265475230) is a healthcare organization registered as a diagnostic radiology in Farmington, New Mexico and active in the NPI registry since June 2006. The organization lists Danyle Conner, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Four Corners Radiology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Four Corners Radiology Associates PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
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 Four Corners Radiology Associates PC's NPI number?
The NPI number for Four Corners Radiology Associates PC is 1265475230. It was assigned to this organization in the NPPES registry on June 14, 2006.
Where is Four Corners Radiology Associates PC located?
Four Corners Radiology Associates PC is located at 801 W. Maple, Farmington, NM 87401. The listed phone number is (505) 325-1572.
What is Four Corners Radiology Associates PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Four Corners Radiology Associates PC enrolled in Medicare?
Yes. Four Corners Radiology Associates PC is registered in the Medicare PECOS enrollment system.
When is Four Corners Radiology Associates PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Four Corners Radiology Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Four Corners Radiology Associates PC. 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. Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Four Corners Radiology Associates PC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Four Corners Radiology Associates Pc · NPI 1265475230
Diagnostic Radiology organization in Farmington, New Mexico. Organization record, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1265475230 (Entity type: Organization)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Danyle Conner, OFFICE MANAGER
## Practice location
- **Address:** 801 W. MAPLE, Farmington, NM 87401
- **Phone:** (505) 325-1572
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2021
- **Other identifiers:** Medicaid 44016 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1265475230) · Data from the CMS NPPES public registry.