Active NPI
Joseph Michael Nenow
- Diagnostic Radiology Physician
- Philadelphia, PA
National Provider Identifier
1053990523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD496539
- Practice address
- 111 S 11TH St Ste G3390
Philadelphia, PA 19107-4870 - Phone
- (215) 955-2900
- NPI assigned
- Apr 3, 2021
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD496539 | PA | Primary |
Addresses
Primary practice location
111 S 11TH St Ste G3390
Philadelphia, PA 19107-4870
Mailing address
635 Barnhill Dr # Ms 116
Indianapolis, IN 46202-5126
Phone (317) 274-8282
Other practice location 1
635 Barnhill Dr # MS 116
Indianapolis, IN 46202-5126
Phone (317) 274-8282
Other practice location 2
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1053990523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BARNHILL DR # MS 116",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025126",
"telephone_number": "317-274-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST STE G3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074870",
"telephone_number": "215-955-2900"
}
],
"practiceLocations": [
{
"address_1": "635 Barnhill Dr # MS 116",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025126",
"country_code": "US",
"telephone_number": "317-274-8282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025306",
"country_code": "US",
"telephone_number": "317-962-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NENOW",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-03",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD496539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.