NPIMap

Individual provider Active NPI

Kevin Pan, M.D.

  • Diagnostic Radiology Physician
  • Akron, OH
National Provider Identifier
1134419625
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.131244 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3043
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 35.131244 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170727003164 OH Practitioner - Diagnostic Radiology 5092938282 Reassigns benefits to 2 organizations
I20180918001435 HI Practitioner - Diagnostic Radiology 5092938282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Radiology IncGroup PAC ID 3971497066, 37 clinicians
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

1551 Ala Wai Blvd
Apt 1805
Honolulu, HI 96815-1044
Phone (330) 294-0114

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3043

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.131244OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Radiology Inc Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
WRH Physicians, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

495 W Main St
El Centro, CA 92243

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134419625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.131244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.