Individual provider Active NPI

Kirk M Doerger, MD

  • Diagnostic Radiology Physician
  • Edgewood, KY
National Provider Identifier
1366425076
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39198 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2160
Fax
(859) 301-3932
NPI assigned
Nov 28, 2005
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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 39198 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-2501
Phone (586) 412-4365

Other identifiers 3

IdentifierTypeStateIssuer
2699245MedicaidOH
64106883MedicaidKY
P00230222OtherRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 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
I20050524001280 KY Practitioner - Diagnostic Radiology 2961459177 Reassigns benefits to 1 organization
I20191211000863 IN Practitioner - Diagnostic Radiology 2961459177 Reassigns benefits to 1 organization
I20200427002267 OH Practitioner - Diagnostic Radiology 2961459177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1999
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

135 Courthouse Xing
Independence, KY 41051-2509
Phone (859) 301-0990

2200 Conner Rd
Hebron, KY 41048-8142
Phone (859) 814-0010

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8110

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3249

3395 Legendary Trails Dr
Cincinnati, OH 45245-3074
Phone (859) 331-4369

3910 Eagleedge CT
Independence, KY 41051-2509
Phone (859) 331-4369

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5420

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

7200 Alexandria Pike
Alexandria, KY 41001-1036
Phone (859) 814-0070

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Jul 8, 2005 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients

Locations (25 of 29)

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

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

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

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

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

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

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

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

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

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

560 S Loop Rd
Ste 100
Edgewood, KY 41017

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

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

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

10095 Investment Way
Florence, KY 41042
Phone (859) 212-5600

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

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

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) 356-6800

120 Progress Way
Owenton, KY 40359
Phone (502) 227-2229

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

Organizations & group practices 3

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 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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1366425076",
    "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": "441932501",
            "telephone_number": "586-412-4365"
        },
        {
            "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": "859-301-2160",
            "fax_number": "859-301-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERGER",
        "first_name": "KIRK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "39198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2699245",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64106883",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00230222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.