Kimberly Ann Radloff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

123391 Issued in OH

Practice address

106 Scott Farms Blvd
Marysville, OH 43040-7069

Phone

(937) 738-7645

Fax

(937) 738-7667

NPI assigned

Jun 24, 2010

Last updated

Oct 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatologists of Southwestern Ohio, LLC.

  dba Dermatologists of Southwest Ohio, LLC

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  Medicare reassignment Care Compare group NPD
• Dermatopathology Laboratory of Central States

  • Clinical Medical Laboratory
  • Dayton, OH
  • NPI 1912914144

  Dermatology

  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1528379567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SCOTT FARMS BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407069",
            "telephone_number": "937-738-7645",
            "fax_number": "937-738-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SCOTT FARMS BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407069",
            "telephone_number": "937-738-7645",
            "fax_number": "937-738-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLOFF",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "123391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Ohio Medical, P.a (Scotts)
• Prime Mental Health and Wellness LLC
• Kimberly Prior, RN
• Ellen G Pruneau
• Robert Pryzmenski, CRNA
• Kristin Ann Raiter, CCC-SLP
• Nicholas Ralston, DO
• Lauren Ransome
• Kelle Rapp
• Susan Michelle Rardon

• Dermatology Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.

Verify at the official NPI Registry.