Jason Frank Broomhall, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Cincinnati, OH
NPI 1780975151 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1780975151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 35 125731 (OH)
- Practice address
- 234 Goodman St
Cincinnati, OH 45219-2364 - Phone
- (513) 584-6484
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Wright State University Boonshoft School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kettering Network Radiologists Inc
Radiology of Indiana P C
Practice addresses (Care Compare)
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136
540 Lincoln Park Blvd
Suite 100
Kettering, OH 45429-6409
Phone (937) 296-7227
590 Grand Wood CT
Springboro, OH 45066-8491
Phone (317) 579-2150
9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150
Hospital & facility affiliations
- Kettering Health Dayton
- Kettering Health Main Campus
- Soin Medical Center
- Kettering Health Miamisburg
- Kettering Health Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.41 of 100
- Quality
- 73.46
- Improvement activities
- 40
- Cost
- 73.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160707002194 | OH | Practitioner - Diagnostic Radiology | 1951549328 | Reassigns benefits to 3 organizations |
| I20220809001877 | IN | Practitioner - Diagnostic Radiology | 1951549328 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Health Gateway Services Inc | Current |
Accepting new patients | |
| Henry County Hospital Inc | Current |
Accepting new patients | |
| Kettering Network Radiologists Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology of Indiana P C | Diagnostic Radiology | Current |
Accepting new patients |
| Kettering Medical Center | Past | Accepting new patients |
Locations (25 of 58)
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600
2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
1023 S Main St
Centerville, OH 45458
Phone (937) 435-1982
L3402
Columbus, OH 43260
Phone (814) 444-1919
1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500
6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000
6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666
165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902
1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600
7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420
101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020
450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306
1250 W National Rd
Englewood, OH 45315
Phone (937) 558-3062
1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644
1840 Springfield Rd
Fairborn, OH 45324
Phone (937) 523-8780
909 E 2nd St
Ste C
Franklin, OH 45005
100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700
835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35 125731 | OH | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219-2364
Mailing address
234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 584-6484
Other providers in Cincinnati, OH
- David Broomall
- Deairr Jamekia Broomes
- Sonya D Broomes
- Jason Broomfield
- Nicole Broomfield
- Edward L Brose III
- Kayla Jo Bross
- Margaret E Bross
- Karen Ann Brossart
- Brothas Inc. Youth Initiative
All providers in Cincinnati, OH · Diagnostic Radiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.