INNOVATIVE RADIOLOGY, LLC
NPI 1700486776
Radiology - Diagnostic Radiology in West Des Moines, IA

Active since October 29, 2020CLIA 16D2343355 · Waiver
7601 OFFICE PLAZA DRIVE N, UNIT 115, WEST DES MOINES, IA 50266(515) 222-0550(515) 222-0544 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2024, Oct 29, 2020 (2 updates tracked since 2020).

About Innovative Radiology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE RADIOLOGY, LLC (NPI 1700486776) is a healthcare organization registered as a diagnostic radiology in West Des Moines, Iowa and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists John Tentinger, President, as its authorized official.

NPPES Registry Identity

NPI1700486776
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINNOVATIVE RADIOLOGY, LLC
Location Address7601 OFFICE PLAZA DRIVE N, UNIT 115West Des Moines, IA 50266-5026
Mailing AddressPo Box 2660Waterloo, IA 50704-2660 · (800) 728-3044 · Fax (319) 260-2102
Fax(515) 222-0544
Organization SubpartNo
Authorized OfficialJohn TentingerPresident · (515) 554-2887
Enumeration DateOctober 29, 2020
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1700486776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7601 OFFICE PLAZA DRIVE N, West Des Moines, IA 50266

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Radiology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Innovative Radiology, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Diagnostic Radiology15
Anesthesiology1
Chiropractic1
Nurse Practitioner1
Obstetrics/Gynecology1

Clinicians, nearest first (19)

Diagnostic Radiology
NPI 1043747868
7601 OFFICE PLAZA DR N STE 100
West Des Moines, IA 50266
(515) 222-0550
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1801881933
7601 OFFICE PLAZA DR N STE 115
West Des Moines, IA 50266
(515) 222-0550
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1649658014
4020 MERLE HAY RD STE 100
Des Moines, IA 50310
(515) 278-0949
✔ PECOS✔ Accepts Medicare6.8 mi
Diagnostic Radiology
NPI 1497016273
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts Medicare9.1 mi
Anesthesiology
NPI 1518918317
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-2200
✔ PECOS✔ Accepts Medicare9.1 mi
Obstetrics/Gynecology
NPI 1750359147
1212 PLEASANT ST SUITE 405
Des Moines, IA 50309
(515) 243-8842
✔ PECOS✔ Accepts Medicare9.2 mi
Diagnostic Radiology
NPI 1235228685
1636 NE 126TH AVE
Alleman, IA 50007
(843) 814-6553
✔ PECOS✔ Accepts Medicare18 mi
Diagnostic Radiology
NPI 1295097970
4000 COCHRANE PKWY
Ames, IA 50014
(515) 509-9956
✔ PECOS30 mi
Diagnostic Radiology
NPI 1538591896
1215 DUFF AVE
Ames, IA 50010
(515) 239-4456
✔ PECOS✔ Accepts Medicare33 mi
Diagnostic Radiology
NPI 1114009743
1215 DUFF AVENUE
Ames, IA 50010
(515) 239-4456
✔ PECOS✔ Accepts Medicare33 mi
Diagnostic Radiology
NPI 1326255746
404 JEFFERSON ST MEDICAL IMAGING DEPARTMENT
Pella, IA 50219
(641) 628-6622
✔ PECOS✔ Accepts Medicare48 mi
Chiropractic
NPI 1720460991
1312 EAST AVE
Naperville, IL 60563
(515) 868-2469
294 mi
Diagnostic Radiology
NPI 1518943380
325 N COMMERCIAL ST
Neenah, WI 54956
(920) 722-1583
✔ PECOS✔ Accepts Medicare326 mi
Diagnostic Radiology
NPI 1528210879
801 BROADWAY N
Fargo, ND 58102
(701) 234-2000
✔ PECOS✔ Accepts Medicare394 mi
Diagnostic Radiology
NPI 1629336573
UK-GME 800 ROSE STREET, ROOM HQ-101
Lexington, KY 40536
(859) 323-5871
✔ PECOS✔ Accepts Medicare552 mi
Diagnostic Radiology
NPI 1821479593
1210 W FARIS RD
Greenville, SC 29605
(864) 522-1800
✔ PECOS✔ Accepts Medicare775 mi
Diagnostic Radiology
NPI 1912468687
1 BAYLOR PLZ
Houston, TX 77030
(515) 441-0499
✔ PECOS✔ Accepts Medicare824 mi
Diagnostic Radiology
NPI 1114196185
1100 WILFORD HALL LOOP
Lackland Afb, TX 78236
(210) 292-6225
✔ PECOS✔ Accepts Medicare883 mi
Diagnostic Radiology
NPI 1902068083
315 S MANNING BLVD
Albany, NY 12208
(518) 525-1401
✔ PECOS✔ Accepts Medicare1,028 mi

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 16D2343355

Innovative Radiology · West Des Moines, IA
Active · expires May 4, 2028
CLIA Number16D2343355
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorJohn Tentinger
Laboratory Phone(515) 222-0550
Laboratory LocationInnovative Radiology7601 Office Plaza Dr Ste 115, West Des Moines, IA 50266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Innovative Radiology, LLC's NPI number?

The NPI number for Innovative Radiology, LLC is 1700486776. It was assigned to this organization in the NPPES registry on October 29, 2020.

Where is Innovative Radiology, LLC located?

Innovative Radiology, LLC is located at 7601 Office Plaza Drive N Unit 115, West Des Moines, IA 50266. The listed phone number is (515) 222-0550.

What is Innovative Radiology, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Innovative Radiology, LLC enrolled in Medicare?

Yes. Innovative Radiology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Radiology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Innovative Radiology, 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. The largest specialties are Diagnostic Radiology (15), Anesthesiology (1) and Chiropractic (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2343355) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Radiology, LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.