Active NPI
Professional Radiology Inc.
- Diagnostic Radiology Physician
- Blue Ash, OH
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
- 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
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10002350H | Medicaid | IN | |
| 65916447 | Medicaid | KY | |
| 10002350A | Medicaid | IN | |
| 10002350B | Medicaid | IN | |
| 0395095 | Medicaid | OH | |
| 10002350F | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1407965684
Diagnostic Radiology, OH
-
- Vascular & Interventional Radiology Physician
- Blue Ash, OH
- NPI 1255787925
KY, OH
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1104870443
Diagnostic Radiology, KY, OH
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1508156043
Diagnostic Radiology, KY, OH
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1255386843
Diagnostic Radiology, KY, OH
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1407083744
Diagnostic Radiology, KY, OH
-
- Diagnostic Radiology Physician
- Oxford, OH
- NPI 1649279092
Diagnostic Radiology, KY, OH, SC
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1629401187
KY, Multi-Specialty, OH
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1215904594
Diagnostic Radiology, KY, OH
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1609282441
Diagnostic Radiology, KY, OH
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.