Individual provider Active NPI

Robert M Konstan, M.D.

  • Diagnostic Radiology Physician
  • Westlake, OH
National Provider Identifier
1467436923
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35061019K Issued in OH
Practice address
29000 Center Ridge Rd
Westlake, OH 44145-5293
Phone
(216) 593-5500
Fax
(216) 844-5922
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 35061019K OH Primary

Addresses

Primary practice location

29000 Center Ridge Rd
Westlake, OH 44145-5293

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (216) 593-5500

Other identifiers 2

IdentifierTypeStateIssuer
300114400OtherRAILROAD
0880524MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000738 OH Practitioner - Diagnostic Radiology 4688649296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

1069 Delaware Ave
Marion, OH 43302-6459

1087 Dennison Ave
Columbus, OH 43201-3201
Phone (614) 458-9000

110 E Howard St
Willard, OH 44890-1611
Phone (419) 964-5000

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (614) 340-7740

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 593-5551

615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

715 Richland Mall
Ontario, OH 44906-3802
Phone (614) 340-7717

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-4991

915 W Michigan St
Sidney, OH 45365-2491
Phone (937) 498-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061019KOHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 15, 2014 Accepting new patients
University Primary Care Practices Inc Diagnostic Radiology Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Millennium Radiology Associates, LTD Diagnostic Radiology PastSince Sep 1, 2000 Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

Interoperability endpoints

  • Direct secure messaging: robert.konstan@mmhs.medicity.net

Organizations & group practices 4

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 7

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1467436923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-593-5500",
            "fax_number": "216-844-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455293",
            "telephone_number": "216-593-5500",
            "fax_number": "216-844-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTAN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35061019K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "300114400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880524",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.