MARYVILLE RADIOLOGY GROUP, LTD
NPI 1497773063
Radiology - Diagnostic Radiology in Maryville, IL
About Maryville Radiology Group, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYVILLE RADIOLOGY GROUP, LTD (NPI 1497773063) is a healthcare organization registered as a diagnostic radiology in Maryville, Illinois and active in the NPI registry since July 2006. The organization lists Terry Burk, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryville Radiology Group, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Maryville Radiology Group, Ltd, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (8)
Maryville, IL 62062
Maryville, IL 62062
Maryville, IL 62062
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 Maryville Radiology Group, Ltd's NPI number?
The NPI number for Maryville Radiology Group, Ltd is 1497773063. It was assigned to this organization in the NPPES registry on July 18, 2006.
Where is Maryville Radiology Group, Ltd located?
Maryville Radiology Group, Ltd is located at Illinois Route 162 Anderson Hospital Dept Of Radiology, Maryville, IL 62062. The listed phone number is (618) 288-5711.
What is Maryville Radiology Group, Ltd's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Maryville Radiology Group, Ltd enrolled in Medicare?
Yes. Maryville Radiology Group, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maryville Radiology Group, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Maryville Radiology Group, Ltd. 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 Maryville Radiology Group, Ltd accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Maryville Radiology Group, Ltd 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 Maryville Radiology Group, Ltd was last updated on February 12, 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.
# Maryville Radiology Group, Ltd · NPI 1497773063
Diagnostic Radiology organization in Maryville, Illinois. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1497773063 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Terry Burk, PRESIDENT
## Practice location
- **Address:** ILLINOIS ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGY, Maryville, IL 62062
- **Phone:** (618) 288-5711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
- **Other identifiers:** Other 6010052 (IL); Other 149856 (MO); Other 99693
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Source: [NPI Profile](https://npiprofile.com/npi/1497773063) · Data from the CMS NPPES public registry.