Active NPI
Mitchell J. Kline
- Diagnostic Radiology Physician
- Jeffersonville, IN
National Provider Identifier
1639170996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01052517A
- Practice address
- 1214 Spring St
Suite 2
Jeffersonville, IN 47130-3700 - Phone
- (212) 263-5230
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01052517A | IN | Primary |
Addresses
Primary practice location
1214 Spring St
Suite 2
Jeffersonville, IN 47130-3700
Mailing address
1214 Spring St
Suite 2
Jeffersonville, IN 47130-3700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052517A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Greene Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Clinic Physician Services Co. LLC | Past | Accepting new patients | |
| Opensided MRI of Louisville, LLC | Past | Accepting new patients | |
| Woodland Diagnostic Imaging LLC | Past | Accepting new patients |
Locations
1214 Spring St
Ste 2
Jeffersonvlle, IN 47130
Phone (812) 206-8002
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1417697525
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Jeffersonville, IN
- NPI 1609811769
-
- Anesthesiology Physician
- Mayfield HTS, OH
- NPI 1235127408
-
- Diagnostic Radiology Physician
- Catskill, NY
- NPI 1629053566
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Canton, OH
- NPI 1194733246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1639170996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 SPRING ST",
"address_2": "SUITE 2",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 SPRING ST",
"address_2": "SUITE 2",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303700",
"telephone_number": "212-263-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "MITCHELL",
"middle_name": "J.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01052517A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.