Individual provider Active NPI

Cynthia Lynn Wallentin, M.D.

  • Diagnostic Radiology Physician
  • Cranston, RI
National Provider Identifier
1265665707
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD15146 Issued in RI
Practice address
239 Garden City Dr
Cranston, RI 02920-8215
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 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 036151485 IL
Diagnostic Radiology Physician 2085R0202X 2020040857 MO
Diagnostic Radiology Physician 2085R0202X MD15146 RI Primary

Addresses

Primary practice location

239 Garden City Dr
Cranston, RI 02920-8215

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY, OH, MI, FL, MO, IL, TX8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20151029001784 RI Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 21 organizations
I20160601001886 NY Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 2 organizations
I20200327003162 OH Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization
I20201124002847 MI Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization
I20210630000597 FL Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization
I20230914004018 MO Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization
I20250813002620 IL Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization
I20260424000723 TX Practitioner - Diagnostic Radiology 3678882867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians

Practice addresses (Care Compare)

Cranston, RI 02920
Phone (708) 915-5671

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

123 Lorimer Ave
Providence, RI 02906-4911
Phone (615) 312-0600

15 Mahoney Dr
Hope, RI 02831-1449
Phone (401) 497-8461

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

239 Garden City Dr
Cranston, RI 02920-8215
Phone (337) 439-4706

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036151485ILMDDiagnostic Radiology Physician
MD15146RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Hurley Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 30, 2020 Accepting new patients
Blessing Hospital CurrentSince Sep 1, 2023 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Apr 30, 2026 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 20, 2020 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince Dec 7, 2022 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Sep 16, 2020 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Mar 16, 2020 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 9, 2020 Accepting new patients
Austin Radiological Association CurrentSince Apr 30, 2026 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Oct 22, 2019 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 14, 2021 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Baker Community Health Center Inc CurrentSince Jan 8, 2019 Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology Past Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 116)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

8850 E Pima Center Pkwy
Scottsdale, AZ 85258
Phone (480) 324-7231

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 37

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 37

Hospital & facility affiliations 6

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1265665707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GARDEN CITY DR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029208215",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENTIN",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151485",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2020040857",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD15146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.