Kennon H Hager, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17729 Issued in AL

Practice address

820 S 4TH St
Gadsden, AL 35901-5223

Phone

(251) 460-0326

Fax

(251) 460-2846

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

Diagnostic Radiology

Education

University of Virginia School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Imaging of Alabama P CGroup PAC ID 6800940131, 2 clinicians

Advanced Imaging of Gadsden LLCGroup PAC ID 6204890916, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

31.67 of 100Reported as individual

Quality

63.33

Improvement activities

0

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 and National Provider Directory roles.

• Advanced Imaging of Alabama LLC

  • Diagnostic Radiology Physician
  • Anniston, AL
  • NPI 1629221510
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Imaging of Gadsden LLC

  • Diagnostic Radiology Physician
  • Gadsden, AL
  • NPI 1972615581
  Medicare reassignment Care Compare group NPD Authorized official
• Diagnostic Health Corporation

  dba Diagnostic Health, Orange Park

  • Physiological Laboratory
  • Orange Park, FL
  • NPI 1093764508
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1609857291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015223",
            "telephone_number": "256-549-0008",
            "fax_number": "256-549-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015223",
            "telephone_number": "251-460-0326",
            "fax_number": "251-460-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "KENNON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "17729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "510000141",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00184774",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009975445",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Gross, M.D.
• Guest Apothecary Inc (Physicians Apothecary Noccalula)
• Guest Apothecary Inc (Physicians Apothecary)
• Francesca Guida-Hall, LCSW
• Guide Counseling Services, LLC
• Mazen Hakim, M.D.
• Katie Hornbuckle Hall, PHARM D
• Martell Hall, LICSW
• Whitney B Hall, D.P.T
• Halladay Counseling LLC (Halladay Counseling)

• Diagnostic Radiology Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.