Individual provider Active NPI

Daniel Benjamin Gans, MD

  • Vascular & Interventional Radiology Physician
  • Edgewood, KY
National Provider Identifier
1508122029
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036-146649 Issued in IL
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(610) 477-6147
NPI assigned
Apr 10, 2012
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036146649 IL
Vascular & Interventional Radiology Physician 2085R0204X 036-146649 IL Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272

Other practice location 1

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20181010002967 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5597017053
I20241016001666 IN Practitioner - Diagnostic Radiology 5597017053 Reassigns benefits to 1 organization
I20241024004260 KY Practitioner - Diagnostic Radiology 5597017053 Reassigns benefits to 1 organization
I20241107001265 OH Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5597017053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

11333 Cornell Park Dr
Suite 200
Blue Ash, OH 45242-1813
Phone (513) 751-6667

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

2925 Vernon PL
Cincinnati, OH 45219-2425

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

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

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-146649ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Gcga Physicians Inc. CurrentSince Feb 5, 2025 Accepting new patients
Tri State Urologic Services PSC Inc Vascular & Interventional Radiology CurrentSince Oct 14, 2024 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
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 37)

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

122 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 836-0202

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
Crestview Hills, KY 41017
Phone (859) 341-4525

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

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) 301-9070

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

830 Thomas More Pkwy
Fort Mitchell, KY 41017
Phone (859) 301-8686

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2200 Conner Rd
Hebron, KY 41048
Phone (859) 344-5652

Organizations & group practices 7

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1508122029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "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": "610-477-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616370001",
            "country_code": "US",
            "telephone_number": "309-655-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANS",
        "first_name": "DANIEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036146649",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036-146649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.