Direct Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIRECT RADIOLOGY PLLC

Practice address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431

Phone

(855) 687-7237

NPI assigned

Oct 15, 2012

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle J Henneberry, MDNPI 1285723957

Title

Chief Medical Officer

Phone

(855) 687-7237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, TX, CO, SC, CA, OR, WA, FL, OH, UT, WI, PA, ID, IL, MA, KS, HI, MD, MI, VA, GA, MS22 enrollments

Enrollment records 22

Locations

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Joseph Henneberry, MD

  • Diagnostic Radiology Physician
  • Woodinville, WA
  • NPI 1285723957
  Medicare reassignment NPD Authorized official
• Michael David Berven, M.D.

  • Diagnostic Radiology Physician
  • Bothell, WA
  • NPI 1871816694

  KS

  Medicare reassignment NPD
• Laura Anne Hotchkiss, MD

  • Diagnostic Radiology Physician
  • Liberty Lake, WA
  • NPI 1689622755
  Medicare reassignment NPD
• Benjamin Ross Park, D.O.

  • Diagnostic Radiology Physician
  • Bothell, WA
  • NPI 1770922676

  CO

  Medicare reassignment NPD
• Syed Akbar, MD

  • Diagnostic Radiology Physician
  • Oak Brook, IL
  • NPI 1174574222
  Medicare reassignment NPD
• Matthew Weslee Allen, M.D.

  • Diagnostic Radiology Physician
  • La Grande, OR
  • NPI 1558445239
  Medicare reassignment NPD
• Sandeep Amesur, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144329848
  Medicare reassignment NPD
• Suzanne Lei Aquino, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1154311694
  Medicare reassignment NPD
• Daniel M Baker, M.D.

  • Diagnostic Radiology Physician
  • New Albany, OH
  • NPI 1033193941
  Medicare reassignment NPD
• David K Bass, MD

  • Diagnostic Radiology Physician
  • Wellington, FL
  • NPI 1225076219
  Medicare reassignment NPD
• Troy Allyn Belle, MD

  • Diagnostic Radiology Physician
  • Denver, CO
  • NPI 1629031299
  Medicare reassignment NPD
• Robert Berger, M.D.

  • Diagnostic Radiology Physician
  • Clayton, GA
  • NPI 1386688851
  Medicare reassignment NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1144572173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "855-687-7237",
            "fax_number": "855-673-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "855-687-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HENNEBERRY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "855-687-7237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bernard Devney, MD
• Steven D. Dill, MA. LMHC
• Ann Gabrielle Dillard
• Huma Din, LMFTA
• Eva Dines, RN
• Discover Chiropractic PLLC (Discover Chiropractic)
• DMG Dental Design LLC
• Dna Holdings, Inc. (Abilities Unlimited NW)
• Linda DO-Cao
• Doar Professional Counseling LLC

• Diagnostic Radiology Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.