GENESIS RADIOLOGY P.A. NPI 1154433746

NPI Information

  • NPI: 1154433746
  • Provider Name: GENESIS RADIOLOGY, P.A.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2828 W PARKER RD
    PLANO, TX
    ZIP 75075
  • Phone: (972) 599-1860

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NPI Details

GENESIS RADIOLOGY, P.A. is a diagnostic radiology radiology in Plano, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GENESIS RADIOLOGY, P.A. NPI is 1154433746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2828 W PARKER RD
PLANO, TX
ZIP 75075-153
Phone: (972) 599-1860

The provider's authorized official is Albert Tesoriero .
The authorized official title is Medical Director and has the following contact phone number (972) 599-1860.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG7011TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113724202MEDICAIDTEXAS
21593231MEDICAIDLOUISIANA
300520VMEDICARE PIN
48J8280OTHERTEXASBCBS
5180974600OTHERTEXASDEPT OF LABOR
6300074692MEDICARE ID-TYPE UNSPECIFIEDTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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