Active NPI
Kennewick Radiology Group PC
- Diagnostic Radiology Physician
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- KENNEWICK RADIOLOGY GROUP PC
- Practice address
- 3810 Plaza Way
Kennewick, WA 99338-2722 - Phone
- (509) 221-7000
- Fax
- (509) 221-7748
- NPI assigned
- May 22, 2007
- Last updated
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandip Arvind Patidar
- Title
- Owner
- Phone
- (858) 692-9729
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3810 Plaza Way
Kennewick, WA 99338-2722
Mailing address
PO Box 9186
Longview, TX 75608-9186
Phone (903) 663-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7138209 | Medicaid | WA | |
| 006814 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ, FL, CA, OR, HI, WY, TX, DC, MD, VA, KS, MN, OH, MI, MA, IL, NY, OK, PR, VT, WI, KY, PA, NE, DE
Enrollment records 26
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070802000143 | WA | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 9 practitioners Practice locations: Bellevue, WA; Camas, WA; Kenmore, WA; Kennewick, WA; Pasco, WA |
| O20090827000849 | AZ | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Scottsdale, AZ; Chandler, AZ |
| O20190313002001 | FL | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 6 practitioners Practice locations: Lantana, FL; Miami Beach, FL; Orlando, FL; Oviedo, FL; Wesley Chapel, FL; Windermere, FL |
| O20190314000693 | CA | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 8 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Truckee, CA; Irvine, CA; San Luis Obispo, CA; San Diego, CA; Pasadena, CA; Newport Coast, CA; Roseville, CA |
| O20190314002056 | OR | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Newberg, OR |
| O20190314002345 | HI | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Honolulu, HI; Kaneohe, HI |
| O20190318001626 | WY | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilson, WY |
| O20190319000921 | TX | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Plano, TX; Spring, TX; San Antonio, TX; Lumberton, TX; Houston, TX; Dallas, TX; Austin, TX |
| O20190402002270 | DC | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 4 practitioners Practice locations: Potomoc, MD; Bethesda, MD; Arlington, VA |
| O20190403001182 | MD | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Pikesville, MD |
| O20190422001397 | VA | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 4 practitioners Practice locations: Ashburn, VA; Williamsburg, VA; Leesburg, VA; Danville, VA; Hillsboro, VA |
| O20190920000264 | KS | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Lawrence, KS |
| O20200303000913 | MN | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Edina, MN; Plymouth, MN |
| O20200812001233 | OH | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Avon, OH |
| O20201014002564 | MI | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Ann Arbor, MI; Detroit, MI |
| O20211122000901 | MA | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Worcester, MA |
| O20211202002259 | IL | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 2 practitioners Practice locations: Lake Forest, IL; Oak Brook, IL |
| O20220112000336 | NY | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Manhasset, NY; Cornwall, NY |
| O20220214000677 | OK | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 4 practitioners Practice locations: Nichols Hills, OK; Oklahoma City, OK; Tulsa, OK |
| O20220218002485 | PR | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
| O20220921002278 | VT | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: East Dorset, VT |
| O20221227000696 | WI | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Eau Claire, WI |
| O20230905003336 | KY | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Crestwood, KY |
| O20231002002388 | PA | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Girard, PA |
| O20250627003561 | NE | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
| O20250728002348 | DE | Part B Supplier - Clinic/Group Practice | 9335230549 |
Receives reassigned benefits from 1 practitioner Practice locations: Magnolia, DE |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Diagnostic Radiology Physician
- San Marino, CA
- NPI 1114491479
9335230549
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Kennewick, WA
- NPI 1124592480
O20190314000693, O20190319000921
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1033683396
O20190314000693
-
- Diagnostic Radiology Physician
- San Marino, CA
- NPI 1114491479
O20190314000693
-
- Diagnostic Radiology Physician
- Chico, CA
- NPI 1205395803
O20190314000693
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1295209559
O20190314000693
-
- Diagnostic Radiology Physician
- Carmel, CA
- NPI 1588138846
O20190314000693
-
- Diagnostic Radiology Physician
- Newport Coast, CA
- NPI 1669946927
O20190314000693
-
- Diagnostic Radiology Physician
- San Mateo, CA
- NPI 1730711854
O20190314000693
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1851865117
O20190314000693
National Provider Directory
National Provider DirectoryLocations
8530 W Sunset Rd
Ste 120
Las Vegas, NV 89113
Phone (310) 993-9118
Practitioners & affiliated clinicians
Practitioners 60
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Walla Walla, WA
- NPI 1356305262
-
- Diagnostic Neuroimaging (Radiology) Physician
- Bellevue, WA
- NPI 1255484283
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Kennewick, WA
- NPI 1063463784
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1518911726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1679783534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9186",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756089186",
"telephone_number": "903-663-4800",
"fax_number": "903-663-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 PLAZA WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382722",
"telephone_number": "509-221-7000",
"fax_number": "509-221-7748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNEWICK RADIOLOGY GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "PATIDAR",
"authorized_official_first_name": "SANDIP",
"authorized_official_middle_name": "ARVIND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-692-9729"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7138209",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006814",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
- Kennewick Public Health District (Kennewick General Hospital)
- Kennewick Public Hospital District (Kennewick General Hospital Home Health Care)
- Kennewick Public Hospital District (KGH Physician Clinics)
- Kennewick Public Hospital District (Kennewick General Hospital)
- Kennewick Public Hospital District
- Kennewick Radiology Group, PC
- Kennewick School District #17
- Kennewick Vision Care PC
- Phonemaly Outhichamphone Keomany, RN
- Charles Keone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.