MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
NPI 1629020995
Radiology - Vascular & Interventional Radiology in Edmond, OK
About Musculoskeletal Imaging And Interventional Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC (NPI 1629020995) is a healthcare organization registered as a vascular & interventional radiology in Edmond, Oklahoma and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Douglas P Beall, Chief Of Services, 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)
Musculoskeletal Imaging And Interventional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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 Musculoskeletal Imaging And Interventional LLC, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2067270
Musculoskeletal Imaging & Interventional · Edmond, OKFrequently 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 Musculoskeletal Imaging And Interventional LLC's NPI number?
The NPI number for Musculoskeletal Imaging And Interventional LLC is 1629020995. It was assigned to this organization in the NPPES registry on May 16, 2006.
Where is Musculoskeletal Imaging And Interventional LLC located?
Musculoskeletal Imaging And Interventional LLC is located at 1023 Waterwood Pkwy, Edmond, OK 73034. The listed phone number is (405) 601-2325.
What is Musculoskeletal Imaging And Interventional LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Musculoskeletal Imaging And Interventional LLC enrolled in Medicare?
Yes. Musculoskeletal Imaging And Interventional LLC is registered in the Medicare PECOS enrollment system.
When is Musculoskeletal Imaging And Interventional LLC'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 (Oklahoma, Clinic/Group Practice) is due for revalidation by March 31, 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 Musculoskeletal Imaging And Interventional LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Musculoskeletal Imaging And Interventional LLC. 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.
Does Musculoskeletal Imaging And Interventional LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2067270) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Musculoskeletal Imaging And Interventional LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Musculoskeletal Imaging And Interventional Llc · NPI 1629020995
Vascular & Interventional Radiology organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1629020995 (Entity type: Organization)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Douglas Beall, CHIEF OF SERVICES
## Practice location
- **Address:** 1023 WATERWOOD PKWY, Edmond, OK 73034-5324
- **Phone:** (405) 601-2325 · **Fax:** (405) 497-6074
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Oklahoma, 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:** July 28, 2025
- **Other identifiers:** Medicaid 200069440B (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629020995) · Data from the CMS NPPES public registry.