Individual provider Active NPI

Kamran Rafique Janjua, M.D.

  • Diagnostic Radiology Physician
  • Eagle River, AK
National Provider Identifier
1508815184
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5825 Issued in AK
Practice address
12110 Business Blvd
Ste 6-328
Eagle River, AK 99577-7741
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
May 9, 2006
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60316126 WA
Diagnostic Radiology Physician 2085R0202X P9205 TX
Diagnostic Radiology Physician 2085R0202X 35.151118 OH
Diagnostic Radiology Physician 2085R0202X 5825 AK Primary

Addresses

Primary practice location

12110 Business Blvd
Ste 6-328
Eagle River, AK 99577-7741

Mailing address

12110 Business Blvd Ste 6-328
Eagle River, AK 99577-7741

Other practice location 1

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, TN, WA, WI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060629000371 AK Practitioner - Diagnostic Radiology 1658351903 Reassigns benefits to 12 organizations
I20140313001260 TX Practitioner - Diagnostic Radiology 1658351903 Reassigns benefits to 1 organization
I20191008001056 TN Practitioner - Diagnostic Radiology 1658351903 Reassigns benefits to 1 organization
I20240530002739 WA Practitioner - Diagnostic Radiology 1658351903 Reassigns benefits to 2 organizations
I20251001004321 WI Practitioner - Diagnostic Radiology 1658351903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.151118OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Sep 1, 2022 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jun 11, 2024 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Sep 9, 2021 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Sep 1, 2022 Accepting new patients
Portable Medical Diagnostics, Inc CurrentSince Dec 13, 2017 Accepting new patients
Tra-Minw P S CurrentSince Sep 1, 2022 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Sep 22, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Cheyenne Radiology Group CurrentSince Apr 1, 2022 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jun 5, 2020 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Sep 22, 2025 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Feb 20, 2019 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Oct 19, 2019 Accepting new patients
The Vancouver Clinic Inc PS Family Medicine CurrentSince Jun 11, 2024 Accepting new patients
Baptist Physician Network CurrentSince Sep 25, 2019 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC PastSince May 2, 2011 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC PastSince May 2, 2011 Accepting new patients
Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Alaska Radiology Associates Inc Past Accepting new patients
Algone Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
East Memphis Pet Imaging, LLC Diagnostic Radiology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 70)

12110 Business Blvd
Ste 6328
Eagle River, AK 99577
Phone (323) 723-2897

12110 Business Blvd
#6328
Eagle River, AK 99577
Phone (415) 799-7060

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

17310 Wright St
Ste 103
Omaha, NE 68130
Phone (303) 590-9765

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982

L3402
Columbus, OH 43260
Phone (814) 444-1919

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

6438 Wilmington Pike
Ste 120
Dayton, OH 45459
Phone (937) 558-3800

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

450 Washington Jackson Rd
#F
Eaton, OH 45320
Phone (937) 456-8376

1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780

Organizations & group practices 31

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.

View all 31

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1508815184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD STE 6-328",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 6-328",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777741",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17310 Wright St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302405",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANJUA",
        "first_name": "KAMRAN",
        "middle_name": "RAFIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60316126",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P9205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.151118",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "5825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.