DR. KEVIN R BANNON (M.D.) – Diagnostic Radiology Physician, NPI 1215907456

DR. KEVIN R BANNON (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. MD070875L (PA). The NPI Number for DR. KEVIN R BANNON (M.D.) is 1215907456

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN R BANNON (M.D.)
NPI
1215907456
Phone
(610) 770-1606
Address
1255 S CEDAR CREST BLVD
Enumeration Date
23 January 2006
Last Update Date
6 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107701606
Graduation Year
1976 (50 years ago)
PAC ID
1456482645
Group Practice PAC ID
1557265212
Professional Enrollment ID
I20100702000300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. KEVIN R BANNON (M.D.)

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 3600

    ALLENTOWN, PA 181036256

    Phone: (610) 770-1606

    Fax: (610) 740-0560

    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 1 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-09-29 • Largest payer in this snapshot: Boston Scientific Corporation ($166).

Total Amount

$166

General + Research + Ownership

Payments

1

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 18103)

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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: 1557265212View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-PA
-PA
-PA
Diagnostic RadiologyNJ
Diagnostic RadiologyPA
Diagnostic RadiologyIA
-PA
Diagnostic RadiologyPA
Interventional RadiologyMD

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Frequently asked questions

How do I look up DR. KEVIN R BANNON (M.D.) by NPI?
Use NPI 1215907456 when you need to reference DR. KEVIN R BANNON (M.D.) in forms, claims, or directories.
Is DR. KEVIN R BANNON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KEVIN R BANNON (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. KEVIN R BANNON (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEVIN R BANNON (M.D.)?
The snapshot lists Allentown, Pennsylvania for DR. KEVIN R BANNON (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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