Organization Active NPI

Radiology One Medical Group PC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1700670197
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ONE MEDICAL GROUP PC
Practice address
9393 N 90TH St Ste 102-718
Scottsdale, AZ 85258-5040
Phone
(480) 845-0009
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Kevin Kadakia, MDNPI 1619310752
Title
Coo
Phone
(480) 845-0009

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)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

9393 N 90TH St Ste 102-718
Scottsdale, AZ 85258-5040

Mailing address

9393 N 90TH St Ste 102-718
Scottsdale, AZ 85258-5040
Phone (480) 845-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL, OR, CO, WA, MD, CA, NM, OK, TX, IA, DC, MI, VA, AZ, MA, AL, PR18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20251124003847 NV Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20251125002083 FL Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 7 practitioners
Practice locations: Naples, FL; Tampa, FL; Palmetto Bay, FL; Odessa, FL; Newberry, FL; Miami, FL; Lutz, FL
O20251125002569 OR Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR
O20251125004592 CO Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20251125004743 WA Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA
O20251126001978 MD Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, MD; Columbia, MD
O20251126002180 CA Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 5 practitioners
Practice locations: San Diego, CA; La Jolla, CA; Culver City, CA; Coronado, CA; La Canada Flintridge, CA
O20251126003289 NM Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM
O20251126004231 OK Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK; Ramona, OK
O20251126004327 TX Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 10 practitioners
Practice locations: Tyler, TX; Roanoke, TX; Houston, TX; Fulshear, TX; Dallas, TX; Austin, TX
O20251212000184 IA Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 8 practitioners
Practice locations: Dubuque, IA; Asbury, IA
O20251223002732 DC Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 2 practitioners
Practice locations: Bethesda, MD; Potomac, MD
O20251226001395 MI Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Orchard Lake, MI
O20251227000025 VA Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 4 practitioners
Practice locations: Alexandria, VA; Lynchburg, VA; Virginia Beach, VA
O20251231001783 AZ Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, AZ; Tempe, AZ; Scottsdale, AZ; Prescott, AZ; Phoenix, AZ; Mesa, AZ; Gilbert, AZ; Chandler, AZ
O20260106001471 MA Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA
O20260128001126 AL Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: Trussville, AL
O20260527003695 PR Part B Supplier - Clinic/Group Practice 5496247793 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

9393 N 90th St
Ste 102718
Scottsdale, AZ 85258
Phone (480) 845-0009

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1700670197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST STE 102-718",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585040",
            "telephone_number": "480-845-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST STE 102-718",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585040",
            "telephone_number": "480-845-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ONE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-845-0009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.

Verify at the official NPI Registry.