Organization Active NPI

Professional Radiology Inc.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1043348014
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
316204 Issued in OH
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other identifiers 6

IdentifierTypeStateIssuer
10002350HMedicaidIN
65916447MedicaidKY
10002350AMedicaidIN
10002350BMedicaidIN
0395095MedicaidOH
10002350FMedicaidIN

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, SC21 enrollments

Enrollment records 21

Enrollment IDStateProvider typePAC IDDetails
O20040503000207 OH Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 61 practitioners
Practice locations: Avon, OH; Maineville, OH; Hamilton, OH; Cincinnati, OH; Blue Ash, OH
O20170502000128 CO Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 13 practitioners
Practice locations: Lakewood, CO
O20170524000389 DC Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, VA; Gaithersburg, MD; Kensington, MD
O20170525000299 WA Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Moses Lake, WA
O20170526001601 AZ Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 5 practitioners
Practice locations: Chandler, AZ; Phoenix, AZ; Scottsdale, AZ
O20170606002544 CA Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga, CA; Arroyo Grande, CA
O20170606003076 HI Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 4 practitioners
Practice locations: Haleiwa, HI; Honolulu, HI; Kailua, HI; Kaneohe, HI
O20170607003162 KY Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 39 practitioners
Practice locations: Fort Thomas, KY; Irvine, KY; Bellevue, KY
O20170612001404 NV Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20170811000008 FL Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL; Melbourne, FL; North Redington Beach, FL; Seminole, FL
O20180605003561 WI Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI; Pewaukee, WI; Verona, WI
O20180921001262 TN Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Ooltewah, TN
O20201110002313 VA Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, VA; Hillsboro, VA
O20210412001079 MA Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Framingham, MA; Boston, MA; Acton, MA
O20210428000408 MI Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 4 practitioners
Practice locations: Detroit, MI; Royal Oak, MI; South Lyon, MI; Traverse City, MI
O20210914000990 NY Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Mineola, NY
O20211214001882 PA Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisburg, PA
O20211221002757 MD Part B Supplier - Clinic/Group Practice 0941298764 Practice locations: Columbia, MD
O20220110002169 KS Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20220225000538 PR Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20251126002030 SC Part B Supplier - Clinic/Group Practice 0941298764 Receives reassigned benefits from 1 practitioner
Practice locations: Kiawah Island, SC

National Provider Directory

National Provider Directory
Tax ID family
Lucid Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

5819 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8200

8154 Montgomery Rd
Ste 102
Cincinnati, OH 45236
Phone (513) 686-8000

Practitioners & affiliated clinicians

Practitioners 132

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 132

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10002350H",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65916447",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10002350A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10002350B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395095",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10002350F",
            "state": "IN"
        }
    ],
    "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.

Verify at the official NPI Registry.