Individual provider Active NPI

Cameron Richardson Kendall, M.D.

  • Neuroradiology Physician
  • Madison, WI
National Provider Identifier
1154710572
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
84377-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-2111
Phone
(608) 263-6400
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2017-01101 NC
Neuroradiology Physician 2085N0700X 84377-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-2111

Mailing address

620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708-2197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250218002492 VA Practitioner - Diagnostic Radiology 3072033265 Reassigns benefits to 2 organizations
I20251222002720 WI Practitioner - Diagnostic Radiology 3072033265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

2525 Maple Hall CT
Midlothian, VA 23113-6385
Phone (336) 274-6682

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84377-20WIMDNeuroradiology Physician
2017-01101NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 8, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jan 13, 2025 Accepting new patients

Locations

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1154710572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR STE 275",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922111",
            "telephone_number": "608-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CAMERON",
        "middle_name": "RICHARDSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2017-01101",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "84377-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.