Provider profile
IndividualJordan O Booty
Radiology in Philadelphia, PA. NPI 1336384189, listed in the CMS NPI Registry since 12/09/2008. Bills Medicare.
NPI 1336384189Specialty RadiologyEnumerated 12/09/2008
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Registry and Medicare facts
- Practice location
- 3400 Spruce St, Philadelphia, PA 19104 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 12/09/2008 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 4,284 Part B CMS Medicare 2024
In the full profile
Locked- 147 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in PA by patient mix and volume
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