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SOUTHWEST DIAGNOSTIC IMAGING LLC
NPI 1902896236
Radiology - Diagnostic Radiology in Scottsdale, AZ

Active since October 27, 2005
3501 N SCOTTSDALE ROAD, SUITE 130, SCOTTSDALE, AZ 85251(480) 425-5078(480) 657-3470 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2024, Apr 14, 2021 (2 updates tracked since 2021).

About Southwest Diagnostic Imaging Llc NPPES

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

SOUTHWEST DIAGNOSTIC IMAGING LLC (NPI 1902896236) is a healthcare organization registered as a diagnostic radiology in Scottsdale, Arizona and active in the NPI registry since October 2005. The organization lists Jennifer Mohler, Chief Revenue Cycle Officer, as its authorized official.

NPPES Registry Identity

NPI1902896236
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSOUTHWEST DIAGNOSTIC IMAGING LLC
Location Address3501 N SCOTTSDALE ROAD, SUITE 130Scottsdale, AZ 85251-8525
Mailing AddressPo Box 207762Dallas, TX 75320-7762 · (480) 425-5000
Phone(480) 425-5078
Fax(480) 657-3470
Organization SubpartNo
Authorized OfficialJennifer MohlerChief Revenue Cycle Officer · (480) 425-4065
Enumeration DateOctober 27, 2005
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1902896236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
3501 N SCOTTSDALE ROAD, Scottsdale, AZ 85251
Open in Google Maps ↗

Other Identifiers 1

Other858178AZ · Ahcccs

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Diagnostic Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by October 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20211011001423Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateVirginiaEnrollment IDO20220119001715Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Southwest Diagnostic Imaging LLC, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Diagnostic Radiology149
Interventional Radiology8
Internal Medicine1
Nuclear Medicine1
Nurse Practitioner1

Nearest to this location (20)

See all 160
Jared Allen, MD
Diagnostic Radiology
NPI 1023265840
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Glenn Cook, MD
Diagnostic Radiology
NPI 1427047463
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Michelle Dubes, M.D.
Diagnostic Radiology
NPI 1528260262
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Fitzgerald, MD
Diagnostic Radiology
NPI 1952457566
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Mark Jorgensen, MD
Diagnostic Radiology
NPI 1548259526
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Kenneth Keller, MD
Diagnostic Radiology
NPI 1891781886
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Caroline Kilian, M.D.
Diagnostic Radiology
NPI 1386966927
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Ronald Korn, MD, PHD
Diagnostic Radiology
NPI 1588653547
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Eric Kovalsky, MD
Diagnostic Radiology
NPI 1194714154
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Mark Kuo, MD
Diagnostic Radiology
NPI 1760471700
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Jason Low, M.D.
Diagnostic Radiology
NPI 1447505839
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Daniel Maki, MD
Diagnostic Radiology
NPI 1093704058
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Raymond Murphy, MD PH D
Diagnostic Radiology
NPI 1992794978
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Ronald Newbold, MD
Diagnostic Radiology
NPI 1861481806
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Chad Palmer, MD
Diagnostic Radiology
NPI 1801886932
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Jane Sohn, MD
Diagnostic Radiology
NPI 1912996976
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Nishant Verma, M.D.
Diagnostic Radiology
NPI 1164699765
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Rodney Owen, MD
Diagnostic Radiology
NPI 1003805052
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Rolf Hultsch, MD
Diagnostic Radiology
NPI 1093797649
3501 N SCOTTSDALE RD SUITE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
Sara Plett
Diagnostic Radiology
NPI 1457664427
3501 N SCOTTSDALE RD STE 130
Scottsdale, AZ 85251
(480) 425-5000
✔ PECOS✔ Accepts MedicareSame address
See all 160 clinicians

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 Southwest Diagnostic Imaging LLC's NPI number?

The NPI number for Southwest Diagnostic Imaging LLC is 1902896236. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Southwest Diagnostic Imaging LLC located?

Southwest Diagnostic Imaging LLC is located at 3501 N Scottsdale Road Suite 130, Scottsdale, AZ 85251. The listed phone number is (480) 425-5078.

What is Southwest Diagnostic Imaging LLC's specialty?

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

Is Southwest Diagnostic Imaging LLC enrolled in Medicare?

Yes. Southwest Diagnostic Imaging LLC is registered in the Medicare PECOS enrollment system.

When is Southwest Diagnostic Imaging LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Southwest Diagnostic Imaging LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southwest Diagnostic Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwest Diagnostic Imaging 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 (149), Interventional Radiology (8) and Internal Medicine (1). Of these, 24 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southwest Diagnostic Imaging LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. and 1 other insurer list Southwest Diagnostic Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southwest Diagnostic Imaging LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.