PMG VASCULAR IMAGING
NPI 1659726768
Radiology - Diagnostic Radiology in Moraine, OH
About Pmg Vascular Imaging NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PMG VASCULAR IMAGING (NPI 1659726768) is a healthcare organization registered as a diagnostic radiology in Moraine, Ohio and active in the NPI registry since April 2016. The organization holds 4 active CLIA laboratory certificates and lists Susan J. Becker, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Pmg Vascular Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Pmg Vascular Imaging, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 49Centerville, OH 45459
Centerville, OH 45459
Centerville, OH 45459
Centerville, OH 45459
Centerville, OH 45459
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 4
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 36D1017593
Providence Medical Group Pmg Germantown · Germantown, OHCertificate for Provider-Performed Microscopy Procedures (PPMP) 36D2072442
Providence Medical Group Inc The Heights · Huber Heights, OHCertificate of Waiver 36D0938844
Providence Medical Group · Vandalia, OHCertificate of Accreditation 36D1023688
Providence Medical Laboratory · Dayton, OHFrequently 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 Providence Medical Group, Inc.'s NPI number?
The NPI number for Providence Medical Group, Inc. is 1659726768. It was assigned to this organization in the NPPES registry on April 26, 2016. The provider is doing business as Pmg Vascular Imaging.
Where is Providence Medical Group, Inc. located?
Providence Medical Group, Inc. is located at 2912 Springboro Rd Suite 201, Moraine, OH 45439. The listed phone number is (937) 396-8137.
What is Providence Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Providence Medical Group, Inc. enrolled in Medicare?
Yes. Providence Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 5 Medicare specialties reassign their Medicare billing to Providence Medical Group, 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 (32), Family Practice (14) and Colorectal Surgery (Proctology) (1). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Providence Medical Group, Inc. hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Providence Medical Group, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield list Providence Medical Group, Inc. 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 Providence Medical Group, Inc. was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Pmg Vascular Imaging · NPI 1659726768
Diagnostic Radiology organization in Moraine, Ohio. Organization record, active in the CMS NPPES registry since April 26, 2016.
## Identity
- **NPI:** 1659726768 (Entity type: Organization)
- **Enumerated:** April 26, 2016
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Providence Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Susan Becker, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 2912 SPRINGBORO RD, SUITE 201, Moraine, OH 45439-1674
- **Phone:** (937) 396-8137 · **Fax:** (937) 297-4868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (14), Colorectal Surgery (Proctology) (1); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1659726768/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2016
- **Other identifiers:** Medicare PIN 9326251 (OH); Medicaid 2380294 (OH)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659726768) · Data from the CMS NPPES public registry.