CMS-1500 Box 24J / 33a • NPI
1912932997
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2085R0202X (CMS 30)
Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)
Box 32 Service Location & ZIP+4
1210 W 18TH ST, STE LL03, SIOUX FALLS, SD, 57104-4654
✓ 9-Digit EDI 837 ZIP+4 (57104-4654)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1912932997 (SANFORD CLINIC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1912932997 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | SANFORD CLINIC |
| Plain-English Specialty | Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) NUCC Code: 2085R0202X (Radiology, Diagnostic Radiology) |
| Certifying / Licensing Body | American Board of Radiology (ABR) / FRCR |
| Practice Location Address | 1210 W 18TH ST, STE LL03, SIOUX FALLS, SD, 57104-4654 |
| Practice Telephone / Fax | Tel: (605) 328-1410 | Fax: (605) 328-1412 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2006-07-11 | CMS Record Updated: 2023-11-27 |
| Authorized Official | TONY MORRISON (Vice President, Revenue Cycle) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0202X)
What Does Taxonomy Code 2085R0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0202X translates to:
"Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SANFORD CLINIC)
Typical CPT / Diagnostic Procedures:- Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis
- Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)
- Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound
- 3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)
- Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)
- Gadolinium-Based MRI Contrast Agents
- Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085B0100X — Radiology, Body ImagingPlain English: Licensed & Credentialed Radiology, Body Imaging | State: N/A | License: Verified | Primary: Secondary |
2085N0700X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology | State: N/A | License: Verified | Primary: Secondary |
2085N0904X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology | State: N/A | License: Verified | Primary: Secondary |
2085P0229X — Radiology, Pediatric RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology | State: N/A | License: Verified | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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