MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
NPI 1629020995
Radiology - Vascular & Interventional Radiology in Edmond, OK

NPI Status: Active since May 16, 2006

Contact Information

1023 WATERWOOD PKWY
EDMOND, OK
ZIP 73034
Phone: (405) 601-2325
Fax: (405) 497-6074

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • CLIA Number: 37D2067270
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-10-2027

About MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC

This page provides the complete NPI Profile along with additional information for Musculoskeletal Imaging And Interventional Llc, a provider established in Edmond, Oklahoma operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1629020995 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Douglas P Beall Md (Chief Of Services)

NPI
1629020995
Provider Name
MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
Entity Type
Organization
Location Address
1023 WATERWOOD PKWY EDMOND, OK 73034
Location Phone
(405) 601-2325
Location Fax
(405) 497-6074
Mailing Address
PO BOX 1390 OKLAHOMA CITY, OK 73101
Mailing Phone
(405) 601-2325
Mailing Fax
(405) 497-6074
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
07-28-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS P BEALL MD

Authorized Official Title
CHIEF OF SERVICES
Authorized Official Phone
(405) 601-2325

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200069440BMEDICAID (05)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2067270
Facility Type
Physician Office
Certificate Effective Date
October 11, 2025
Certificate Expiration Date
October 10, 2027
Laboratory Director
DOUGLAS P. BEALL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Musculoskeletal Imaging And Interventional Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629020995, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 2 + 0 + 9 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1629020995.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Magnetic Resonance Imaging (MRI))
1023 WATERWOOD PKWY
EDMOND, OK 73034
Radiology (Diagnostic Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034
Radiology (Diagnostic Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034
Radiology (Vascular & Interventional Radiology)
1023 WATERWOOD PKWY
EDMOND, OK 73034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629020995, enumerated as an "organization" on May 16, 2006.

The provider is located at 1023 WATERWOOD PKWY EDMOND, OK 73034 and the phone number is (405) 601-2325.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.