PHYSICIAN SERVICES OF MEMORIAL HOSPITAL RADIOLOGY
NPI 1649573692
Radiology - Diagnostic Radiology in Manchester, KY
About Physician Services Of Memorial Hospital Radiology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICIAN SERVICES OF MEMORIAL HOSPITAL RADIOLOGY (NPI 1649573692) is a healthcare organization registered as a diagnostic radiology in Manchester, Kentucky and active in the NPI registry since December 2010. The organization lists Benny Nolen, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physician Services Of Memorial Hospital Radiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
123Medicare enrollment records show 123 clinicians reassign Medicare billing to Physician Services Of Memorial Hospital Radiology, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 123Source: 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 Memorial Hospital, Inc.'s NPI number?
The NPI number for Memorial Hospital, Inc. is 1649573692. It was assigned to this organization in the NPPES registry on December 14, 2010. The provider is doing business as Physician Services Of Memorial Hospital Radiology.
Where is Memorial Hospital, Inc. located?
Memorial Hospital, Inc. is located at 210 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 598-5104.
What is Memorial Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Memorial Hospital, Inc. enrolled in Medicare?
Yes. Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 24 Medicare specialties reassign their Medicare billing to Memorial Hospital, Inc.. 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. The largest specialties are Nurse Practitioner (59), Internal Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 21 practice at this address and 41 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 Memorial Hospital, Inc. was last updated on January 13, 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.
# Physician Services Of Memorial Hospital Radiology · NPI 1649573692
Diagnostic Radiology organization in Manchester, Kentucky. Organization record, active in the CMS NPPES registry since December 14, 2010.
## Identity
- **NPI:** 1649573692 (Entity type: Organization)
- **Enumerated:** December 14, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Memorial Hospital, Inc.
- **Organization subpart:** No
- **Authorized official:** Benny Nolen, VICE PRESIDENT
## Practice location
- **Address:** 210 MARIE LANGDON DR, Manchester, KY 40962-6388
- **Phone:** (606) 598-5104 · **Fax:** (606) 598-0983
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 123 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (59), Internal Medicine (10), Certified Registered Nurse Anesthetist (CRNA) (8); 21 practice at this address and 41 within 10 miles; [full list](https://npiprofile.com/npi/1649573692/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2021
- **Other identifiers:** Medicaid 65934523 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1649573692) · Data from the CMS NPPES public registry.