Individual provider Active NPI

Glenn M Taylor, M.D.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1699721407
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35074729 Issued in OH
Practice address
9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone
(513) 872-4500
Fax
(513) 872-4518
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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 35074729 OH Primary

Addresses

Primary practice location

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251

Mailing address

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone (513) 872-4500

Other identifiers 3

IdentifierTypeStateIssuer
64127769MedicaidKY
2173740MedicaidOH
200125430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051206000443 OH Practitioner - Diagnostic Radiology 5597785584 Reassigns benefits to 4 organizations
I20250218001234 KY Practitioner - Diagnostic Radiology 5597785584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074729OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP-Wilmington, LLC CurrentSince Jun 11, 2022 Accepting new patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jul 1, 2006 Accepting new patients
RCHP - Wilmington LLC CurrentSince Jun 11, 2022 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Medical Radiologists Inc Diagnostic Radiology Past Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients

Locations

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

2123 Auburn Ave
Ste 231
Cincinnati, OH 45219
Phone (513) 333-2580

4760 E Galbraith Rd
Ste 109
Cincinnati, OH 45236
Phone (513) 686-3047

L3402
Columbus, OH 43260
Phone (814) 444-1919

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations & group practices 8

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 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1699721407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35074729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64127769",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173740",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200125430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.