NIKHIL REDDY KANTHALA – Diagnostic Radiology Physician, NPI 1063971380

NIKHIL REDDY KANTHALA is a healthcare provider. based in Newark, Delaware. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 25MB12346800 (NJ). The NPI Number for NIKHIL REDDY KANTHALA is 1063971380

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
NIKHIL REDDY KANTHALA
NPI
1063971380
Phone
Not provided
Address
4755 OGLETOWN STANTON RD
Enumeration Date
16 March 2019
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
6102374814
Graduation Year
2019 (7 years ago)
PAC ID
7618202151
Group Practice PAC ID
1153233283
Professional Enrollment ID
I20250904002565
Address ID
PA190231200DA1500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

222 DIAGNOSTIC RADIOLOGY in DE

Provider Addresses for NIKHIL REDDY KANTHALA

  • 4755 OGLETOWN STANTON RD

    NEWARK, DE 197182200

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-04-12 • Largest payer in this snapshot: Boston Scientific Corporation ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241104001099IDiagnostic RadiologyNJTBD
I20241113000262IDiagnostic RadiologyTXTBD
I20241119002554IDiagnostic RadiologyORTBD
I20250619000952IDiagnostic RadiologyMTTBD
I20250904002565IDiagnostic RadiologyPATBD
I20250912000029IDiagnostic RadiologyDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153233283View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyCT
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyNH
Diagnostic RadiologyNH
Diagnostic RadiologyMD
Interventional Radiology, Interventional Radiology, Diagnostic Radiology, Internal Medicine, Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyPA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What identifier follows NIKHIL REDDY KANTHALA across health systems?
The NPI 1063971380 uniquely identifies NIKHIL REDDY KANTHALA in U.S. healthcare data.
Should I treat NIKHIL REDDY KANTHALA as an active provider?
Patients and plans typically see NIKHIL REDDY KANTHALA as active in the national extract.
What does the directory say NIKHIL REDDY KANTHALA does?
Insurance directories may phrase it differently, but here NIKHIL REDDY KANTHALA maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is NIKHIL REDDY KANTHALA tied to Newark, Delaware?
If you are local to Newark, Delaware, NIKHIL REDDY KANTHALA may be relevant to your search.
Who maintains NIKHIL REDDY KANTHALA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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