Active NPI
Kamran Rafique Janjua, M.D.
- Diagnostic Radiology Physician
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5825
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151118 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Tallahassee Diag Imaging Ctr LTD | Diagnostic Radiology | Current | Accepting new patients |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Portable Medical Diagnostics, Inc | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Kettering Network Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Cheyenne Radiology Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| Southeast Radiology Partners LTD | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Quantum Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Family Medicine | Current | Accepting new patients |
| Baptist Physician Network | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Anchorage Fracture and Orthopaedic Clinic, PC | Past | Accepting new patients | |
| Anchorage Fracture and Orthopaedic Clinic, PC | Past | 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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
AK
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
AK
-
dba Radiology Associates of Tallahassee
- Diagnostic Radiology Physician
- Tallahassee, FL
- NPI 1932799814
AK
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
dba MultiCare Valley Hospital
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
dba MultiCare Capital Medical Center
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.