Individual provider Active NPI

Kenneth Fox, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1164439873
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2013-01741 Issued in NC
Practice address
9935D Rea Rd Ste 266
Charlotte, NC 28277-6710
Phone
(912) 401-9450
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27062 SC
Diagnostic Radiology Physician 2085R0202X MD.30241 AL
Diagnostic Radiology Physician 2085R0202X 2013-01741 NC Primary

Addresses

Primary practice location

9935D Rea Rd Ste 266
Charlotte, NC 28277-6710

Mailing address

9935D Rea Rd Ste 266
Charlotte, NC 28277-6710
Phone (912) 401-9450

Other practice location 1

4030 Smith Rd Ste 300
Cincinnati, OH 45209-1974
Phone (513) 221-2544

Other identifiers 1

IdentifierTypeStateIssuer
5918994MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, NM, AZ, CA, GA, PA, NY, IN, NJ, MT, MD, DC, OH, MI, ID, MS17 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 17

Enrollment IDStateProvider typePAC IDDetails
I20131008001659 NC Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 14 organizations
I20170314000142 TX Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 8 organizations
I20170314000210 NM Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20170526001042 AZ Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 2 organizations
I20190128001077 CA Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20190403002763 GA Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 2 organizations
I20201102002002 PA Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 4 organizations
I20210524002191 NY Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 5 organizations
I20210712000414 IN Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20240625002640 NJ Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20241011000939 MT Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20241121001760 MD Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 2 organizations
I20241216001762 DC Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20250408002183 OH Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20250630001723 MI Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 4 organizations
I20260224001312 ID Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization
I20260624000793 MS Practitioner - Diagnostic Radiology 8224154141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Diagnostic Imaging AssociatesGroup PAC ID 3072564244, 5 clinicians
Capital Imaging AssociatesGroup PAC ID 7416939590, 15 clinicians
Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians
Imaging Associates of Hazleton PCGroup PAC ID 0941275747, 8 clinicians
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians
Pueblo Medical Imaging LLCGroup PAC ID 2264328319, 22 clinicians
Diagnostic Imaging Associates of North Jersey PAGroup PAC ID 3476511064, 8 clinicians
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians
Vision Imaging of Kingston LLCGroup PAC ID 8921065319, 12 clinicians
Great Falls Obstetrical and Gynecological AssociatesGroup PAC ID 4284534918, 11 clinicians
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians
Together Women'S Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians
Premier Mountain Imaging CenterGroup PAC ID 7810344769, 5 clinicians
Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians
Lapeer Medical Diagnostics PCGroup PAC ID 9133359599, 6 clinicians

Practice addresses (Care Compare)

1000 E Genesee St
Suite 100
Syracuse, NY 13210-1853
Phone (315) 472-8835

1001 Loudon Rd
Latham, NY 12110
Phone (518) 785-7373

101 Holly Hill Rd
Suite B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

101 S Church St
Hazleton, PA 18201-6279
Phone (570) 501-7226

10750 Columbia Pike
Suite 700
Silver Spring, MD 20901-4461
Phone (301) 681-6772

1111 Mapesbury LN
Waxhaw, NC 28173-6855
Phone (570) 501-7226

1400 29TH St S
Suite 101
Great Falls, MT 59405-5316
Phone (406) 761-7924

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

336 N Main St
Royal Oak, MI 48067-4121
Phone (248) 572-3316

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 714-7226

5448 Hwy 260
Suite 110
Lakeside, AZ 85929-5736
Phone (928) 216-5250

5448 Hwy 260 110
Lakeside, AZ 85929-5736

77 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4893
Phone (301) 414-2300

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

944 Baldwin Rd
Suite F
Lapeer, MI 48446-3089

944 Baldwin Rd a
Lapeer, MI 48446-3089

944 Baldwin Rd F
Lapeer, MI 48446-3089
Phone (810) 245-7812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.30241ALMDDiagnostic Radiology Physician
27062SCMDDiagnostic Radiology Physician
308418NYMDAdult Health Nurse Practitioner

Practice roles (60 of 77)

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Apr 13, 2023 Accepting new patients
Regional Women'S Health Group, LLC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Seven Hills OB-GYN Associates LLC Diagnostic Radiology CurrentSince Aug 16, 2021 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Diagnostic Imaging Associates of North Jersey PA CurrentSince Jun 16, 2024 Accepting new patients
Southern OB GYN Associates P C CurrentSince Jan 22, 2019 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Oct 23, 2024 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Highlands Hospital and Health Center CurrentSince Oct 1, 2020 Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Alinea Imaging Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Apr 13, 2023 Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Feb 20, 2026 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Oncology Hematology Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Schuylkill Open MRI Inc CurrentSince Aug 1, 2020 Accepting new patients
NDS Radiology Inc. Diagnostic Radiology CurrentSince May 20, 2025 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Lapeer Medical Diagnostics PC Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Arizona OB GYN Affiliates PC CurrentSince Jun 12, 2024 Accepting new patients
Bowes Imaging Center LLC. Diagnostic Radiology CurrentSince Apr 24, 2026 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Gallup Community Health CurrentSince Feb 1, 2026 Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince Mar 25, 2024 Accepting new patients
Together Women'S Health Medical Group, P.C. CurrentSince Sep 11, 2025 Accepting new patients
Bowes Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 24, 2026 Accepting new patients
Ton San Simon Health Center CurrentSince Apr 13, 2023 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Aug 16, 2021 Accepting new patients
Hudson Valley Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
New Rochelle Radiology Associates, P.C. Diagnostic Radiology CurrentSince Aug 5, 2024 Accepting new patients
Valley Perinatal Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jul 26, 2022 Accepting new patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Jul 1, 2025 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Apr 13, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince May 22, 2023 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Oct 23, 2024 Accepting new patients
Family First Medical Center, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Summit Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Great Falls Obstetrical and Gynecological Associates CurrentSince Oct 3, 2024 Accepting new patients
Palo Pinto County Hospital District Diagnostic Radiology CurrentSince Mar 31, 2024 Accepting new patients
Assured Imaging Womens Wellness of Washington, LLC Diagnostic Radiology CurrentSince Jul 21, 2016 Accepting new patients
Palo Pinto County Hospital District CurrentSince Mar 31, 2024 Accepting new patients
Oncology Hematology Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Direct Diagnostic Services, LLC CurrentSince May 9, 2021 Accepting new patients
Avera St. Lukes CurrentSince Jun 19, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Avera St. Luke'S Diagnostic Radiology CurrentSince Jun 19, 2024 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Oct 1, 2020 Accepting new patients
Regional Womens Health Group LLC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Premier Mountain Imaging Center CurrentSince Apr 1, 2025 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Feb 20, 2026 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Jun 23, 2022 Accepting new patients

Locations (25 of 68)

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

1757 E Melrose St
Gilbert, AZ 85297

6316 W Union Hills Dr
Ste 100
Glendale, AZ 85308
Phone (623) 233-1300

5448 Highway 260
Ste 110
Lakeside, AZ 85929
Phone (928) 216-5250

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

7717 N Hartman Ln
Tucson, AZ 85743
Phone (520) 744-6121

2475 N Garey Ave
Pomona, CA 91767
Phone (909) 596-9997

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

13420 N Meridian St
Ste 400
Carmel, IN 46032
Phone (317) 573-7050

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

12240 Indian Creek Ct
Ste 130A
Beltsville, MD 20705
Phone (301) 453-5970

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

77 Thomas Johnson Dr
Ste Hj
Frederick, MD 21702

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBICD
  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kenneth.fox.1@20219.direct.athenahealth.com
  • Direct secure messaging: kenneth.fox.1@8994.direct.athenahealth.com
  • Direct secure messaging: kenneth.fox.1@10844.direct.athenahealth.com
  • Direct secure messaging: kenneth.fox.1@17360.direct.athenahealth.com

Organizations & group practices 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1164439873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935D REA RD STE 266",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776710",
            "telephone_number": "912-401-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935D REA RD STE 266",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776710",
            "telephone_number": "912-401-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Smith Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452091974",
            "country_code": "US",
            "telephone_number": "513-221-2544",
            "fax_number": "513-221-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "27062",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.30241",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2013-01741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918994",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.