Individual provider Active NPI

Ella Brooks Kundu, M.D.

  • Diagnostic Radiology Physician
  • Kettering, OH
National Provider Identifier
1194713255
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.132897 Issued in OH
Practice address
3535 Southern Blvd # 6E
Kettering, OH 45429-1221
Phone
(937) 298-4331
Fax
(937) 522-9584
NPI assigned
Oct 12, 2005
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01053859A IN
Diagnostic Radiology Physician 2085R0202X 1021387 MA
Diagnostic Radiology Physician 2085R0202X 35.132897 OH Primary

Addresses

Primary practice location

3535 Southern Blvd # 6E
Kettering, OH 45429-1221

Mailing address

3535 Southern Blvd # 6E
Kettering, OH 45429-1221
Phone (937) 395-8949

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7150

Other names 1

  • Ella Jean Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, LA, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230412002429 OH Practitioner - Diagnostic Radiology 1759565930 Reassigns benefits to 4 organizations
I20241213000163 LA Practitioner - Diagnostic Radiology 1759565930
I20250103000140 MA Practitioner - Diagnostic Radiology 1759565930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
68.93
Improvement activities
40
Cost
79.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053859AINMDNeurology Physician
35.132897OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Dec 16, 2024 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Dec 16, 2024 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Henry County Hospital Inc CurrentSince Oct 31, 2025 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Dec 16, 2024 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Seven Hills OB-GYN Associates LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Dec 16, 2024 Accepting new patients
University Hospital & Clinics Inc CurrentSince Dec 16, 2024 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

1448 S College Rd
Lafayette, LA 70503
Phone (318) 233-5300

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

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

L3402
Columbus, OH 43260
Phone (814) 444-1919

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3535 Southern Blvd
#6E
Kettering, OH 45429
Phone (937) 298-4331

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

Interoperability endpoints

  • Direct secure messaging: ekundu1135436@direct.hfhs.org
  • Direct secure messaging: ella.kundu@direct.signature.masshiway.net

Organizations & group practices 12

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

Hospital & facility affiliations 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1194713255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD # 6E",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-8949",
            "fax_number": "937-522-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD # 6E",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-298-4331",
            "fax_number": "937-522-9584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDU",
        "first_name": "ELLA",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01053859A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1021387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.132897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "BROOKS",
            "middle_name": "JEAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.