NPIMap

Individual provider Active NPI

Keristen L Brantley, MD

  • Diagnostic Radiology Physician
  • Akron, OH
National Provider Identifier
1205154655
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35123834 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3043
Fax
(330) 375-7932
NPI assigned
May 10, 2010
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35123834 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) 375-3043

Other identifiers 1

IdentifierTypeStateIssuer
0104538MedicaidOH

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
I20140709000732 OH Practitioner - Diagnostic Radiology 7315186541 Reassigns benefits to 2 organizations
I20161208000715 HI Practitioner - Diagnostic Radiology 7315186541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Radiology IncGroup PAC ID 3971497066, 37 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Suite 130
Akron, OH 44320-4230
Phone (330) 375-3043

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 375-3043

1860 State Rd
Suite B2
Cuyahoga Falls, OH 44223-1400
Phone (330) 375-3043

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 375-3043

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-3043

3825 Fishcreek Rd
Stow, OH 44224-4322
Phone (330) 375-3043

3838 Massillon Rd
Uniontown, OH 44685-7964
Phone (330) 375-3043

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

Hospital & facility affiliations

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
35123834OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WRH Physicians, Inc. CurrentSince Dec 30, 2024 Accepting new patients

Locations

1900 23rd St
Ste 1100
Cuyahoga Falls, OH 44223
Phone (330) 971-7989

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1205154655",
    "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": "330-375-3043",
            "fax_number": "330-375-7932"
        },
        {
            "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",
            "fax_number": "330-375-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "KERISTEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35123834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.