Individual provider Active NPI

Jason T. Crimmins, MD

  • Diagnostic Radiology Physician
  • Edgewood, KY
National Provider Identifier
1477687366
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40134 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2160
Fax
(859) 301-3932
NPI assigned
Mar 15, 2007
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 40134 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-0001
Phone (586) 412-4000

Other identifiers 3

IdentifierTypeStateIssuer
7100007070MedicaidKY
P00644997OtherRRMC
2753266MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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
I20070626000638 OH Practitioner - Diagnostic Radiology 8426157827 Reassigns benefits to 1 organization
I20080627000330 KY Practitioner - Diagnostic Radiology 8426157827 Reassigns benefits to 1 organization
I20210507000923 IN Practitioner - Diagnostic Radiology 8426157827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2001
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

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

2011 Edenderry Dr
Ft. Mitchell, KY 41017-5638
Phone (859) 331-4369

212 Prather CT
Ft Mitchell, KY 41017-5638
Phone (859) 331-4369

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

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

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

600 Medical Village Dr
Edgewood, KY 41017-3416
Phone 8772357686987

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

8460 US Hwy 42
Florence, KY 41042-9642
Phone 8772357686987

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

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

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 Jun 30, 2008 Accepting new patients
Gcga Physicians Inc. CurrentSince Jul 1, 2025 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Precision Radiotherapy, LLC Past Accepting new patients

Locations (25 of 29)

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

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

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

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

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

560 S Loop Rd
Ste 100
Edgewood, KY 41017

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

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

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

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

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

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

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

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) 301-0990

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

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

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 and National Provider Directory roles.

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1477687366",
    "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": "441930001",
            "telephone_number": "586-412-4000",
            "fax_number": "586-412-4100"
        },
        {
            "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": "CRIMMINS",
        "first_name": "JASON",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "40134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007070",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00644997",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2753266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.