Individual provider Active NPI

Marshall Kong, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1497916852
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35123562 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 584-2146
Fax
(513) 584-0431
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2025047025 MO
Diagnostic Radiology Physician 2085R0202X 35123562 OH Primary
Diagnostic Radiology Physician 2085R0202X 036177493 IL

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

3200 Burnet Ave
Cincinnati, OH 45229-3019
Phone (513) 585-5501

Other practice location 1

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, IL3 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
I20170112001000 CA Practitioner - Diagnostic Radiology 5890919849 Reassigns benefits to 5 organizations
I20260121003038 MO Practitioner - Diagnostic Radiology 5890919849 Reassigns benefits to 1 organization
I20260213001765 IL Practitioner - Diagnostic Radiology 5890919849 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Crawford Hospital DistrictGroup PAC ID 7719898071, 71 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

11357 Via Playa de Cortes
San Diego, CA 92124-1527
Phone (219) 767-6320

16635 Quietwood LN
San Diego, CA 92127-7037
Phone (219) 767-6320

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036177493ILMDDiagnostic Radiology Physician
2025047025MOMDDiagnostic Radiology Physician
35123562OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Jan 15, 2026 Accepting new patients
Crawford Hospital District CurrentSince Jan 12, 2026 Accepting new patients
Blessing Hospital CurrentSince Jan 15, 2026 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Current Accepting new patients
Good Samaritan Regional Health Center CurrentSince Jan 6, 2026 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 6, 2026 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 6, 2026 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Aug 8, 2025 Accepting new patients
San Diego Imaging, LLC CurrentSince Mar 1, 2023 Accepting new patients
San Diego Imaging-Chula Vista LLC CurrentSince Dec 19, 2016 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 19, 2016 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Current Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 19, 2016 Accepting new patients
Crawford Hospital District CurrentSince Jan 12, 2026 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology Past Accepting new patients

Locations

765 Medical Center Ct
Ste 101
Chula Vista, CA 91911

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577

8745 Aero Dr
Ste 200
San Diego, CA 92123

7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

3020 Childrens Way
#5001
San Diego, CA 92123
Phone (858) 966-4011

1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

1005 Broadway St
Quincy, IL 62301

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 22

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.

View all 22

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1497916852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019",
            "telephone_number": "513-585-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-2146",
            "fax_number": "513-584-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-221-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2025047025",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35123562",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036177493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.