RADIOLOGY ASSOCIATES OF NORTHERN KENTUCKY, PLLC – Diagnostic Radiology Physician, NPI 1073595179
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RADIOLOGY ASSOCIATES OF NORTHERN KENTUCKY, PLLC
2000 Joseph E Sanker Blvd Ste 100
Cincinnati, OH 452121979
Phone: (513) 841-7400
Type: Location
375 Thomas More Pkwy Ste 209
Crestview Hills, KY 410172175
Phone: (859) 331-4369
Type: Location
Box, Cleveland County, Oklahoma, United States
CLEVELAND, OH 441930001
Phone: (586) 412-4000
Fax: (586) 412-4100
Type: Mailing
Saint Elizabeth Medical Center Edgewood, 1, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173403
Phone: (859) 331-4369
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: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (738 days ago).
Enrollment records
8
Earliest due date
2024-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031217000626 | O | Clinic/Group Practice | KY | TBD |
| O20171201000238 | O | Clinic/Group Practice | OH | TBD |
| O20180510001505 | O | Clinic/Group Practice | IN | 2024-05-31 |
| O20180622000540 | O | Clinic/Group Practice | FL | 2024-07-31 |
| O20220808001286 | O | Clinic/Group Practice | CA | TBD |
| O20240607001175 | O | Clinic/Group Practice | MO | TBD |
| O20250423003144 | O | Clinic/Group Practice | NC | TBD |
| O20250819002596 | O | Clinic/Group Practice | WI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45212)
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