NPIMap

Organization Active NPI

Cincinnati Imaging Leasing Company, LTD.

Doing business as ProScan Imaging Midtown

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1447240502
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0805IC Issued in OH
Legal business name
CINCINNATI IMAGING LEASING COMPANY, LTD.
Doing business as
ProScan Imaging Midtown
Practice address
5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone
(877) 776-7226
NPI assigned
Oct 28, 2005
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Karen E Amaya
Title
Sr Director Coprorate Admin
Phone
(513) 924-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 0805IC OH Primary

Addresses

Primary practice location

5400 Kennedy Ave
Cincinnati, OH 45213-2664

Mailing address

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (877) 776-7226

Other identifiers 2

IdentifierTypeStateIssuer
2066937MedicaidOH
86000528MedicaidKY

Other names 1

  • ProScan Imaging Midtown Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000298 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3375430655 Practice locations: Cincinnati, OH

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
36D1079831Proscan Imaging Midtown5400 Kennedy Avenue, Cincinnati, OH 45213Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 56

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 56

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1447240502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "877-776-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132664",
            "telephone_number": "877-776-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI IMAGING LEASING COMPANY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR DIRECTOR COPRORATE ADMIN",
        "authorized_official_telephone_number": "513-924-2101"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0805IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066937",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000528",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProScan Imaging Midtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.