KETTERING NETWORK RADIOLOGISTS INC – Diagnostic Radiology Physician, NPI 1346299153
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KETTERING NETWORK RADIOLOGISTS INC
L, Defiance Drive, Buckeye Village, Columbus, Sharon, Franklin County, Ohio, 43210, United States
COLUMBUS, OH 43260
Phone: (614) 430-5707
Type: Mailing
Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454291221
Phone: (937) 296-7202
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: 2025-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
22
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20040407001016 | O | Clinic/Group Practice | OH | 2025-08-31 |
| O20150810002511 | O | Clinic/Group Practice | FL | 2023-08-31 |
| O20160204000371 | O | Clinic/Group Practice | IL | 2025-06-30 |
| O20160217000878 | O | Clinic/Group Practice | WA | 2024-03-31 |
| O20160602001352 | O | Clinic/Group Practice | GA | 2024-04-30 |
| O20160630000573 | O | Clinic/Group Practice | TX | 2024-05-31 |
| O20160711002092 | O | Clinic/Group Practice | OK | 2023-07-31 |
| O20161110001170 | O | Clinic/Group Practice | PA | 2023-11-30 |
| O20170209001203 | O | Clinic/Group Practice | CA | 2024-06-30 |
| O20180525001315 | O | Clinic/Group Practice | MT | 2024-09-30 |
| O20180530001846 | O | Clinic/Group Practice | NC | 2025-07-31 |
| O20181024001074 | O | Clinic/Group Practice | CT | 2024-10-31 |
| O20200512003446 | O | Clinic/Group Practice | KY | 2025-09-30 |
| O20200722001025 | O | Clinic/Group Practice | MI | 2026-01-31 |
| O20210518001233 | O | Clinic/Group Practice | CO | 2026-05-31 |
| O20211209001406 | O | Clinic/Group Practice | IN | TBD |
| O20221118002281 | O | Clinic/Group Practice | TN | TBD |
| O20240410001970 | O | Clinic/Group Practice | MO | TBD |
| O20240603000857 | O | Clinic/Group Practice | AK | TBD |
| O20250304003696 | O | Clinic/Group Practice | NV | TBD |
| O20251013000139 | O | Clinic/Group Practice | MA | TBD |
| O20251022004109 | O | Clinic/Group Practice | VA | 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 43260)
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