NPIMap

Individual provider Active NPI

Robert David Kachelhofer, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1316077449
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25692 Issued in AL
Practice address
619 19TH St. South
Birmingham, AL 35233
Phone
(205) 934-6600
NPI assigned
Mar 7, 2007
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 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 25692 AL Primary

Addresses

Primary practice location

619 19TH St. South
Birmingham, AL 35233

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274

Other identifiers 18

IdentifierTypeStateIssuer
009941526MedicaidAL
009941531MedicaidAL
051539856OtherALBLUE CROSS
101043MedicaidAL
009941529MedicaidAL
9531165OtherALAETNA
009941524MedicaidAL
009941527MedicaidAL
051539854OtherALBLUE CROSS
051539857OtherALBLUE CROSS
051539858OtherALBLUE CROSS
051539859OtherALBLUE CROSS
08828590MedicaidMS
174668MedicaidAL
515-47953OtherALBLUE CROSS
051539855OtherALBLUE CROSS
051541528MedicaidAL
511-60814OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000163 AL Practitioner - Diagnostic Radiology 7214038660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Radiology Clinic LLCGroup PAC ID 0941101653, 44 clinicians
DCH Provider Services LLCGroup PAC ID 6800150517, 53 clinicians
West Jefferson Radiology LLCGroup PAC ID 7214270255, 5 clinicians

Practice addresses (Care Compare)

1931 Wellington Rd
Birmingham, AL 35209-4026
Phone (800) 475-6112

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 333-4661

995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.04 of 100Reported as group
Quality
80.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25692ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Jefferson Radiology, LLC Diagnostic Radiology CurrentSince Mar 18, 2019 Accepting new patients
DCH Provider Services, LLC Diagnostic Radiology CurrentSince Jan 10, 2026 Accepting new patients
The Radiology Clinic LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Alabama Radiologists PC Diagnostic Radiology Past Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

5300 Medford Dr
Hoover, AL 35244
Phone (205) 203-8859

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

208 McFarland Cir N
Ste 100
Tuscaloosa, AL 35406

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 5

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 10

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1316077449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097718",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST. SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-934-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHELHOFER",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "25692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941526",
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        },
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941531",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539856",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101043",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941529",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9531165",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941524",
            "state": "AL"
        },
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            "code": "05",
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            "issuer": null,
            "identifier": "009941527",
            "state": "AL"
        },
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            "code": "01",
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            "issuer": "BLUE CROSS",
            "identifier": "051539854",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539857",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539858",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539859",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08828590",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174668",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-47953",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539855",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051541528",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-60814",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.