PUEBLO RADIOLOGICAL GROUP, P.C.
NPI 1396346185
Clinic/Center - Radiology in Pueblo, CO
About Pueblo Radiological Group, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUEBLO RADIOLOGICAL GROUP, P.C. (NPI 1396346185) is a healthcare organization registered as a radiology in Pueblo, Colorado and active in the NPI registry since November 2020. The organization lists Robin L Boyer, Auth Rep/director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Pueblo Radiological Group, P.c. 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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Pueblo Radiological Group, P.C., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
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 Pueblo Radiological Group, P.C.'s NPI number?
The NPI number for Pueblo Radiological Group, P.C. is 1396346185. It was assigned to this organization in the NPPES registry on November 6, 2020.
Where is Pueblo Radiological Group, P.C. located?
Pueblo Radiological Group, P.C. is located at 4112 Outlook Blvd Ste 255, Pueblo, CO 81008. The listed phone number is (719) 584-7410.
What is Pueblo Radiological Group, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Pueblo Radiological Group, P.C. enrolled in Medicare?
Yes. Pueblo Radiological Group, P.C. is registered in the Medicare PECOS enrollment system.
When is Pueblo Radiological Group, P.C.'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 (Colorado, 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 Pueblo Radiological Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Pueblo Radiological Group, P.C.. 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, 6 practice 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 Pueblo Radiological Group, P.C. was last updated on January 25, 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.
# Pueblo Radiological Group, P.c. · NPI 1396346185
Radiology organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since November 6, 2020.
## Identity
- **NPI:** 1396346185 (Entity type: Organization)
- **Enumerated:** November 6, 2020
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Robin Boyer, AUTH REP/DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 4112 OUTLOOK BLVD STE 255, Pueblo, CO 81008-1667
- **Phone:** (719) 584-7410 · **Fax:** (719) 542-7019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396346185) · Data from the CMS NPPES public registry.