Individual provider Active NPI

Kelechi Princewill

  • Diagnostic Radiology Physician
  • Lewisberry, PA
National Provider Identifier
1669675286
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D70456 Issued in MD
Practice address
629D Lowther Rd
Suite 3950
Lewisberry, PA 17339-9527
Phone
(717) 932-5200
NPI assigned
Jun 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D70456 MD Primary
Diagnostic Radiology Physician 2085R0202X 01084825A IN

Addresses

Primary practice location

629D Lowther Rd
Suite 3950
Lewisberry, PA 17339-9527

Mailing address

629D Lowther Rd Ste 3950
Lewisberry, PA 17339-9527

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, IN, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130520000408 PA Practitioner - Diagnostic Radiology 1456598028 Reassigns benefits to 2 organizations
I20180814000041 MD Practitioner - Diagnostic Radiology 1456598028 Reassigns benefits to 11 organizations
I20210312000694 IN Practitioner - Diagnostic Radiology 1456598028 Reassigns benefits to 2 organizations
I20250129000316 DC Practitioner - Diagnostic Radiology 1456598028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D70456MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Jan 1, 2025 Accepting new patients
Greene County General Hospital Family Medicine CurrentSince Jul 31, 2025 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Henry County Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Mar 15, 2025 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jan 1, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Henry County Memorial Hospital Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Greene County General Hospital Family Medicine Current Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Dimensions Healthcare Associates Inc Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jan 14, 2021 Accepting new patients
Tulsa X-Ray Laboratory PLLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Henry County Memorial Hospital Family Medicine Current Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Jan 1, 2021 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

227 Mountain Dr
Dahlonega, GA 30533
Phone (706) 864-6136

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

316 N Broad St
Ste 230
Winder, GA 30680

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

100 N Academy Ave
Danville, PA 17822

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: kprincewill5022@direct.umm.edu

Organizations & group practices 41

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.

View all 41

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial Hospital 153 clinicians
Greene County General Hospital 102 clinicians
Ella E M Brown Charitable Circle 172 clinicians
Summit Radiology P C 101 clinicians
X-Ray Physicians of Shelbyville PC 43 clinicians
Pacific Imaging Associates LLC 69 clinicians
Tulsa X-Ray Laboratory Inc 29 clinicians
Gainesville Radiology Group PC 65 clinicians
Spectrum Healthcare Partners PA 305 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

200 N Madison St
Marshall, MI 49068-1143

735 Woodbine Crossing Rd
Mount Airy, MD 21771-3327
Phone (260) 432-1568

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Memorial Hospital Hospital, Logansport, IN, CCN 150072

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1669675286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD STE 3950",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "address_2": "SUITE 3950",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "717-932-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCEWILL",
        "first_name": "KELECHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D70456",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01084825A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisberry, PA

Sources for this page

Verify at the official NPI Registry.