BIG HORN BASIN RADIOLOGY SERVICES LLC
NPI 1821790676
Radiology - Diagnostic Radiology in Cody, WY

Active since March 17, 2023
707 SHERIDAN AVE, CODY, WY 82414(307) 527-7501 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Big Horn Basin Radiology Services Llc NPPES

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

BIG HORN BASIN RADIOLOGY SERVICES LLC (NPI 1821790676) is a healthcare organization registered as a diagnostic radiology in Cody, Wyoming and active in the NPI registry since March 2023. The organization lists Travis Graham, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1821790676
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBIG HORN BASIN RADIOLOGY SERVICES LLC
Location Address707 SHERIDAN AVECody, WY 82414-3409
Mailing Address3206 4th StLongview, TX 75605-5143 · (903) 663-4800 · Fax (903) 663-9960
Organization SubpartNo
Authorized OfficialTravis GrahamMd/owner · (307) 250-5836
Enumeration DateMarch 17, 2023
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1821790676 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.
707 SHERIDAN AVE, Cody, WY 82414

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)

Big Horn Basin Radiology Services Llc 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 Big Horn Basin Radiology Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Diagnostic Radiology
NPI 1013900547
707 SHERIDAN AVE
Cody, WY 82414
(307) 578-2582
✔ PECOSSame address
Diagnostic Radiology
NPI 1417926528
707 SHERIDAN AVE
Cody, WY 82414
(307) 578-2372
✔ PECOS✔ Accepts MedicareSame address

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 Big Horn Basin Radiology Services LLC's NPI number?

The NPI number for Big Horn Basin Radiology Services LLC is 1821790676. It was assigned to this organization in the NPPES registry on March 17, 2023.

Where is Big Horn Basin Radiology Services LLC located?

Big Horn Basin Radiology Services LLC is located at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 527-7501.

What is Big Horn Basin Radiology Services LLC's specialty?

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

Is Big Horn Basin Radiology Services LLC enrolled in Medicare?

Yes. Big Horn Basin Radiology Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Horn Basin Radiology Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Big Horn Basin Radiology Services 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. 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 Big Horn Basin Radiology Services LLC was last updated on October 31, 2023. 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.