OUTPATIENT RADIOLOGY CLINIC PA
NPI 1265651459
Radiology - Diagnostic Radiology in West Memphis, AR
About Outpatient Radiology Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUTPATIENT RADIOLOGY CLINIC PA (NPI 1265651459) is a healthcare organization registered as a diagnostic radiology in West Memphis, Arkansas and active in the NPI registry since April 2007. The organization lists Edgar Scott Ferguson, Physician Radiologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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)
Outpatient Radiology Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Outpatient Radiology Clinic PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Outpatient Radiology Clinic PA's NPI number?
The NPI number for Outpatient Radiology Clinic PA is 1265651459. It was assigned to this organization in the NPPES registry on April 25, 2007.
Where is Outpatient Radiology Clinic PA located?
Outpatient Radiology Clinic PA is located at 200 South Rohdes Ste B, West Memphis, AR 72301. The listed phone number is (870) 735-5555.
What is Outpatient Radiology Clinic PA's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Outpatient Radiology Clinic PA enrolled in Medicare?
Yes. Outpatient Radiology Clinic PA is registered in the Medicare PECOS enrollment system.
When is Outpatient Radiology Clinic PA'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 (Arkansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Outpatient Radiology Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Outpatient Radiology Clinic PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Outpatient Radiology Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Outpatient Radiology Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Outpatient Radiology Clinic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Outpatient Radiology Clinic Pa · NPI 1265651459
Diagnostic Radiology organization in West Memphis, Arkansas. Organization record, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1265651459 (Entity type: Organization)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Edgar Ferguson, PHYSICIAN RADIOLOGIST
## Practice location
- **Address:** 200 SOUTH ROHDES, STE B, West Memphis, AR 72301
- **Phone:** (870) 735-5555 · **Fax:** (870) 735-5660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265651459) · Data from the CMS NPPES public registry.