PLACERVILLE RADIOLOGY MEDICAL GROUP INC
NPI 1700847621
Radiology - Diagnostic Radiology in Placerville, CA
About Placerville Radiology Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLACERVILLE RADIOLOGY MEDICAL GROUP INC (NPI 1700847621) is a healthcare organization registered as a diagnostic radiology in Placerville, California and active in the NPI registry since March 2006. The organization lists Anietie Okon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Placerville Radiology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Placerville Radiology Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 68Placerville, CA 95667
Source: 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 Placerville Radiology Medical Group Inc's NPI number?
The NPI number for Placerville Radiology Medical Group Inc is 1700847621. It was assigned to this organization in the NPPES registry on March 30, 2006.
Where is Placerville Radiology Medical Group Inc located?
Placerville Radiology Medical Group Inc is located at 1100 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 626-2613.
What is Placerville Radiology Medical Group Inc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Placerville Radiology Medical Group Inc enrolled in Medicare?
Yes. Placerville Radiology Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Placerville Radiology Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 2 Medicare specialties reassign their Medicare billing to Placerville Radiology 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 Diagnostic Radiology (66) and Interventional Radiology (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Placerville Radiology Medical Group Inc was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Placerville Radiology Medical Group Inc · NPI 1700847621
Diagnostic Radiology organization in Placerville, California. Organization record, active in the CMS NPPES registry since March 30, 2006.
## Identity
- **NPI:** 1700847621 (Entity type: Organization)
- **Enumerated:** March 30, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Anietie Okon, PRESIDENT
## Practice location
- **Address:** 1100 MARSHALL WAY, Placerville, CA 95667-6533
- **Phone:** (530) 626-2613 · **Fax:** (530) 344-5434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (66), Interventional Radiology (2); 2 practice at this address; [full list](https://npiprofile.com/npi/1700847621/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2025
- **Other identifiers:** Medicaid GR0053460 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1700847621) · Data from the CMS NPPES public registry.