Organization Active NPI

Northgate Medical Imaging LLC

Doing business as Priority Radiology

  • Diagnostic Radiology Physician
  • New Albany, IN
National Provider Identifier
1205894235
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHGATE MEDICAL IMAGING LLC
Doing business as
Priority Radiology
Practice address
807 Northgate Blvd
New Albany, IN 47150-6419
Phone
(812) 949-0807
Fax
(812) 949-0806
NPI assigned
May 1, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Craig S Kamen, MDNPI 1104827526
Title
President
Phone
(812) 949-0807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IN Primary

Addresses

Primary practice location

807 Northgate Blvd
New Albany, IN 47150-6419

Mailing address

807 Northgate Blvd
New Albany, IN 47150-6419
Phone (812) 949-0807

Other names 1

  • PRIORITY RADIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH, IL, TX, PA, FL, NC, NY, CA, VA, OK, TN, CT, AL, WI16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20091014000705 IN Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 43 practitioners
Practice locations: New Albany, IN; Jeffersonville, IN; Floyds Knobs, IN; Borden, IN; Carmel, IN
O20221026001638 KY Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 35 practitioners
Practice locations: Prospect, KY; Louisville, KY; Nicholasville, KY; Winchester, KY; Crestwood, KY; Anchorage, KY; Ashland, KY; Elizabethtown, KY…
O20221026002964 OH Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 2 practitioners
Practice locations: Batavia, OH; Loveland, OH; Milford, OH
O20221129000408 IL Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Woodridge, IL
O20230223003077 TX Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 5 practitioners
Practice locations: Austin, TX; Dallas, TX; San Antonio, TX; Spicewood, TX
O20230224000497 PA Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA
O20230314002506 FL Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL; Orlando, FL
O20230622003165 NC Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Fuquay Varina, NC
O20230710000301 NY Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Tremper, NY; Selden, NY
O20240605002349 CA Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, CA
O20250306002323 VA Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Brambleton, VA
O20250313000491 OK Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK
O20250811000191 TN Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN
O20251209000823 CT Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CT
O20260415000064 AL Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL
O20260526003911 WI Part B Supplier - Clinic/Group Practice 5193744209 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1095715Priority Radiology807 Northgate Blvd, New Albany, IN 47150Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002

461 College Rd
Paris, KY 40361

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1205894235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 NORTHGATE BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506419",
            "telephone_number": "812-949-0807",
            "fax_number": "812-949-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 NORTHGATE BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506419",
            "telephone_number": "812-949-0807",
            "fax_number": "812-949-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "KAMEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-949-0807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIORITY RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.