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RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD
NPI 1730218652
Radiologic Technologist in Carbondale, IL

Active since March 05, 2007
1200 CEDAR COURT, CARBONDALE, IL 62901(618) 529-8500(618) 549-1000 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Radiologic Interpretations Of Southern Illinois Ltd NPPES

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

RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD (NPI 1730218652) is a healthcare organization registered as a radiologic technologist in Carbondale, Illinois and active in the NPI registry since March 2007. The organization lists Douglas L Fulk, President, as its authorized official.

NPPES Registry Identity

NPI1730218652
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameRADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD
Location Address1200 CEDAR COURTCarbondale, IL 62901-5334
Mailing Address1200 Cedar CourtCarbondale, IL 62901-5334 · (618) 529-8500 · Fax (618) 549-1000
Phone(618) 529-8500
Fax(618) 549-1000
Organization SubpartNo
Authorized OfficialDouglas L FulkPresident · (618) 529-8500
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 12, 2015
✔ NPI 1730218652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
1200 CEDAR COURT, Carbondale, IL 62901
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Other Identifiers 1

Medicare UPING73890IL

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)

Radiologic Interpretations Of Southern Illinois Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Radiologic Interpretations Of Southern Illinois Ltd, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Fulk, D.O.
Diagnostic Radiology
NPI 1962432286
1200 CEDAR CT
Carbondale, IL 62901
(618) 529-8500
✔ PECOS0.1 mi
Douglas Fulk, M.D.
Diagnostic Radiology
NPI 1992780050
1200 CEDAR CT
Carbondale, IL 62901
(618) 529-8500
✔ PECOS✔ Accepts Medicare0.1 mi

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 Radiologic Interpretations Of Southern Illinois Ltd's NPI number?

The NPI number for Radiologic Interpretations Of Southern Illinois Ltd is 1730218652. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Radiologic Interpretations Of Southern Illinois Ltd located?

Radiologic Interpretations Of Southern Illinois Ltd is located at 1200 Cedar Court, Carbondale, IL 62901. The listed phone number is (618) 529-8500.

What is Radiologic Interpretations Of Southern Illinois Ltd's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Is Radiologic Interpretations Of Southern Illinois Ltd enrolled in Medicare?

Yes. Radiologic Interpretations Of Southern Illinois Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiologic Interpretations Of Southern Illinois Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Radiologic Interpretations Of Southern Illinois Ltd. 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. Of these, 2 practice 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 Radiologic Interpretations Of Southern Illinois Ltd was last updated on November 12, 2015. 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.