KENNETH EDGAR (MD) – Diagnostic Radiology Physician, NPI 1649278904

KENNETH EDGAR (MD) is a healthcare provider. based in Hudson, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. T3273 (TX). The NPI Number for KENNETH EDGAR (MD) is 1649278904

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH EDGAR (MD)
NPI
1649278904
Phone
(330) 655-1869
Address
5655 HUDSON DR STE 210
Enumeration Date
12 July 2005
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9542676650
Graduation Year
1993 (33 years ago)
PAC ID
3577505023
Group Practice PAC ID
7618869900
Professional Enrollment ID
I20050525000683
Address ID
PA153671342VE373XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for KENNETH EDGAR (MD)

  • Hudson Drive, Hudson, Summit County, Ohio, 44236, United States

    ARIS RADIOLOGY

    HUDSON, OH 442364455

    Phone: (330) 655-1869

    Fax: (330) 655-3828

    Type: Mailing

  • 4040 E CAMELBACK RD STE 250

    PHOENIX, AZ 850188350

    Phone: (855) 687-7237

    Type: Mailing

  • 373 MCCOMBS RD

    VENETIA, PA 153671342

    Phone: (855) 687-7237

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050525000683IDiagnostic RadiologyPATBD
I20140327001816IDiagnostic RadiologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast9796$0
71045X-ray of chest, 1 view8684$0
74177Ct scan of abdomen and pelvis with contrast4141$0
72125Ct scan of upper spine without contrast2626$0
71046X-ray of chest, 2 views2525$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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Provider's Procedures

KENNETH EDGAR (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH71250CT scan chest2929
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views1716
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast112109
DIAGNOSTIC RADIOLOGYOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2020

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: 7618869900View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyMA
Diagnostic RadiologyMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What number should I use to identify KENNETH EDGAR (MD) for billing?
Administrative and clinical systems typically use NPI 1649278904 for KENNETH EDGAR (MD).
Should I treat KENNETH EDGAR (MD) as an active provider?
Patients and plans typically see KENNETH EDGAR (MD) as active in the national extract.
What type of care does KENNETH EDGAR (MD) provide?
KENNETH EDGAR (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENNETH EDGAR (MD)?
KENNETH EDGAR (MD) is associated with Hudson, Ohio in the same public data insurers reference.
Can I export KENNETH EDGAR (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.