Nikhil Reddy Kanthala
Individual provider Active NPI Diagnostic Radiology Physician · Newark, DE
NPI 1063971380 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1063971380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 25MB12346800 (NJ)
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-2200 - Phone
- (302) 733-1000
- NPI assigned
- Mar 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 27
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Diagnostic Imaging PC
Rwjbh Observation Associates LLC
Practice addresses (Care Compare)
1438 Harrison Dr
Northfield, NJ 08225-1375
Phone (610) 237-4814
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4814
701 N Clayton St
Wilmington, DE 19805-3165
Phone (610) 237-4814
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994
Hospital & facility affiliations
- St Mary Medical Center
- Cooperman Barnabas Medical Center
- Mercy Catholic Medical Center- Mercy Fitzgerald
- Nazareth Hospital
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.45 of 100
- Quality
- 69.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.59
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in NJ, TX, OR, MT, PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104001099 | NJ | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 5 organizations |
| I20241113000262 | TX | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 5 organizations |
| I20241119002554 | OR | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 3 organizations |
| I20250619000952 | MT | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 2 organizations |
| I20250904002565 | PA | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 1 organization |
| I20250912000029 | DE | Practitioner - Diagnostic Radiology | 7618202151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Hospital Leasing Junction, Inc | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc | Current |
Accepting new patients | |
| Gonzales Healthcare Systems | Current |
Accepting new patients | |
| Preferred Hospital Leasing Van Horn Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Coleman, Inc. | Current |
Accepting new patients | |
| Rwjbh Observation Associates LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Ruby Valley Hospital | Current |
Accepting new patients | |
| Baker Community Health Center Inc | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Preferred Hospital Leasing Coleman Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Junction, Inc | Current |
Accepting new patients | |
| Preferred Hospital Leasing Hemphill, Inc. | Current |
Accepting new patients | |
| Gonzales Healthcare Systems | Current |
Accepting new patients | |
| Ruby Valley Hospital | Current |
Accepting new patients | |
| Imaging Consultants of Essex, P.a. | Diagnostic Radiology | Current |
Accepting new patients |
| Minneola District Hospital NBR 2 | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Inspire Radiology Group LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Preferred Hospital Leasing Van Horn Inc | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Mercy Diagnostic Imaging PC | Diagnostic Radiology | Current |
Accepting new patients |
| Inspire Radiology Group 2 LLC | Diagnostic Radiology | Past |
Accepting new patients |
| Greator Missouri Imaging Associates LLC | Diagnostic Radiology | Past |
Accepting new patients |
| Gonzales Healthcare Systems | Diagnostic Radiology | Past | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100
159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815
222 Main St
Minneola, KS 67865
Phone (620) 885-4202
222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202
212 Main St
Minneola, KS 67865
Phone (620) 885-4202
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
310 S Pecos St
Coleman, TX 76834
Phone (325) 625-2135
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
2421 Worth St
Hemphill, TX 75948
Phone (409) 787-1416
399 Reid Rd
Junction, TX 76849
Phone (325) 446-3305
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nkanthala3820953@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 25MB12346800 | NJ | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Other providers in Newark, DE
- Paul Kaminski
- Thomas William Kaminski
- Walter John Kaminski Jr.
- Thirumaleshawar Kanchana
- Pauline Ebude Kang
- Michael Douglas Kanzer
- Emma Kaplan
- Jared David Kaplan
- Ryan Matthew Espejo Karabell
- Jodi Karabin
All providers in Newark, DE · Diagnostic Radiology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.