MODESTO RADIOLOGICAL MEDICAL GROUP, INC
NPI 1881198604
Radiology - Diagnostic Radiology in Spring, TX

Active since March 19, 2018
1202 CHELSHURST WAY, SPRING, TX 77379(559) 455-4009 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Modesto Radiological Medical Group, Inc NPPES

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

MODESTO RADIOLOGICAL MEDICAL GROUP, INC (NPI 1881198604) is a healthcare organization registered as a diagnostic radiology in Spring, Texas and active in the NPI registry since March 2018. The organization lists Mark E Moore, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881198604
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMODESTO RADIOLOGICAL MEDICAL GROUP, INC
Location Address1202 CHELSHURST WAYSpring, TX 77379-3247
Mailing Address1524 Mchenry Ave Ste 430Modesto, CA 95350-4567
Organization SubpartNo
Authorized OfficialMark E MooreCfo · (209) 577-4444
Enumeration DateMarch 19, 2018
✔ NPI 1881198604 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.
1202 CHELSHURST WAY, Spring, TX 77379

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Modesto Radiological Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Modesto Radiological Medical Group, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Diagnostic Radiology
NPI 1639165954
2901 4TH ST
Longview, TX 75605
(903) 232-3606
✔ PECOS✔ Accepts Medicare179 mi
Diagnostic Radiology
NPI 1033675830
1100 WILFORD HALL LOOP
Jbsa Lackland, TX 78236
(210) 228-6921
✔ PECOS188 mi
Diagnostic Radiology
NPI 1003176710
920 SL YOUNG BLVD
Oklahoma City, OK 73104
(405) 271-5963
✔ PECOS390 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 Modesto Radiological Medical Group, Inc's NPI number?

The NPI number for Modesto Radiological Medical Group, Inc is 1881198604. It was assigned to this organization in the NPPES registry on March 19, 2018.

Where is Modesto Radiological Medical Group, Inc located?

Modesto Radiological Medical Group, Inc is located at 1202 Chelshurst Way, Spring, TX 77379. The listed phone number is (559) 455-4009.

What is Modesto Radiological Medical Group, Inc's specialty?

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

Is Modesto Radiological Medical Group, Inc enrolled in Medicare?

Yes. Modesto Radiological Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modesto Radiological Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Modesto Radiological 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Modesto Radiological Medical Group, Inc was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.