Individual provider Active NPI

Kenneth G Petty, MD

  • Diagnostic Radiology Physician
  • Chico, CA
National Provider Identifier
1609839083
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RHL144948 Issued in CA
Practice address
1702 Esplanade
Chico, CA 95926-3315
Phone
(530) 898-0500
Fax
(530) 898-9647
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X RHL144948 CA Primary

Addresses

Primary practice location

1702 Esplanade
Chico, CA 95926-3315

Mailing address

1720 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504

Other identifiers 2

IdentifierTypeStateIssuer
00G846410MedicaidCA
G84641OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20080707000694 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1759287451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Missouri, Columbia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

1638 Esplanade
Chico, CA 95926-3313
Phone (530) 332-6200

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
RHL144948CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Sep 1, 2018 Accepting new patients
North Valley Advanced Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Enloe Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Chico MRI Partners Diagnostic Radiology Past Accepting new patients

Locations

251 Cohasset Rd
Ste 150
Chico, CA 95926
Phone (530) 898-0500

1638 The Esplanade
Chico, CA 95926
Phone (530) 332-6200

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

Interoperability endpoints

  • Direct secure messaging: kpetty15393@enloedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609839083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263315",
            "telephone_number": "530-898-0504",
            "fax_number": "530-898-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263315",
            "telephone_number": "530-898-0500",
            "fax_number": "530-898-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "KENNETH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHL144948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G84641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.