Individual provider Active NPI

Thomas E Nogueira, M.D.

  • Diagnostic Radiology Physician
  • Edgewood, KY
National Provider Identifier
1205874450
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35076092 Issued in OH
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(610) 477-6147
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 35076092 OH Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-0008
Phone (609) 439-4316

Other practice location 1

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone (513) 872-4500

Other identifiers 3

IdentifierTypeStateIssuer
2201870MedicaidOH
200257980MedicaidIN
64330541MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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
I20040503001650 OH Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 3577551100 Reassigns benefits to 1 organization
I20250207000662 KY Practitioner - Diagnostic Radiology 3577551100 Reassigns benefits to 2 organizations
I20250728003819 IN Practitioner - Diagnostic Radiology 3577551100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35076092OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC CurrentSince Jun 25, 2022 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Apr 1, 2004 Accepting new patients
Seven Hills OB-GYN Associates LLC Diagnostic Radiology CurrentSince Jun 25, 2022 Accepting new patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Qualified Emergency Specialists Inc Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients

Locations (25 of 37)

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842

413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800

830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600

600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382

560 S Loop Rd
Ste 100
Edgewood, KY 41017

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

135 Courthouse Xing
Independence, KY 41051
Phone (859) 301-0990

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

330 Roland Ave
Owenton, KY 40359
Phone (502) 484-3663

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations & group practices 11

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 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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1205874450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932163",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "609-439-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "610-477-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9825 Kenwood Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426251",
            "country_code": "US",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUEIRA",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35076092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201870",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200257980",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64330541",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.