Active NPI
Professional Radiology Inc.
- Diagnostic Radiology Physician
- Blue Ash, OH
National Provider Identifier
1043348014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 316204
- Legal business name
- PROFESSIONAL RADIOLOGY INC.
- Practice address
- 9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252 - Phone
- (513) 872-4500
- Fax
- (513) 872-4518
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas M Merchant
- Title
- Cfo
- Phone
- (513) 527-0403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 316204 | OH | Primary |
Addresses
Primary practice location
9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252
Mailing address
9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252
Phone (513) 872-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CO, DC, WA, AZ, CA, HI, KY, NV, FL, WI, TN, VA, MA, MI, NY, PA, MD, KS, PR, SC
Enrollment records 21
National Provider Directory
National Provider Directory- Tax ID family
- Lucid Solutions
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1518594480
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1427828995
Locations
9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408
Practitioners & affiliated clinicians
Practitioners 135
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1407965684
-
- Vascular & Interventional Radiology Physician
- Blue Ash, OH
- NPI 1255787925
KY
-
- Physician Assistant
- Cincinnati, OH
- NPI 1528837341
-
- Acute Care Nurse Practitioner
- Cincinnati, OH
- NPI 1023312352
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1629401187
KY, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1043348014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 KENWOOD RD STE 105",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426252",
"telephone_number": "513-872-4500",
"fax_number": "513-872-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 KENWOOD RD STE 105",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426252",
"telephone_number": "513-872-4500",
"fax_number": "513-872-4518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL RADIOLOGY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "MERCHANT",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "513-527-0403"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "316204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.