Hannibal Mobile Diagnostics, LLC
NPI 1417016114 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Hannibal, MO
Enrolled with Medicare as Part B Supplier - Portable X-Ray Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hannibal Mobile Diagnostics, LLC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier organization in Hannibal, MO (NPI 1417016114).
Provider details
- NPI number
- 1417016114
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Brandon Selle, Administrator(573) 221-7870
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,839 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Set-Up Portable X-Ray EquipmentQ0092 | 1,185 | $22 |
| Transportation of Portable X-Ray Equipment and Personnel to Home Or Nursing Home, Per Trip to Facility Or Location, One Patient SeenR0070 | 749 | $294 |
| Transportation of Portable X-Ray Equipment and Personnel to Home Or Nursing Home, Per Trip to Facility Or Location, More Than One Patient SeenR0075 | 418 | $136 |
| X-Ray of Chest, 2 Views71046 | 356 | $20 |
| X-Ray of Chest, 1 View71045 | 217 | $15 |
| X-Ray of Hip, 2-3 Views73502 | 132 | $31 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2022-07-21
Frequently asked questions
- What is Hannibal Mobile Diagnostics, LLC's NPI number?
- Hannibal Mobile Diagnostics, LLC's National Provider Identifier (NPI) is 1417016114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hannibal Mobile Diagnostics, LLC?
- Hannibal Mobile Diagnostics, LLC is classified in the NPPES registry as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Suppliers).
- Where is Hannibal Mobile Diagnostics, LLC located?
- Hannibal Mobile Diagnostics, LLC's practice location on file with NPPES is 2910 St. Mary'S Ave., Hannibal, MO 63401.
- What is Hannibal Mobile Diagnostics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Hannibal Mobile Diagnostics, LLC is (573) 221-7870.
- Does Hannibal Mobile Diagnostics, LLC accept Medicare?
- Hannibal Mobile Diagnostics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hannibal Mobile Diagnostics, LLC?
- The authorized official listed on Hannibal Mobile Diagnostics, LLC's NPPES record is Brandon Selle, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hannibal Mobile Diagnostics, LLC's NPI active?
- Yes — Hannibal Mobile Diagnostics, LLC's NPI (1417016114) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.