Individual provider Active NPI

Jason Frank Broomhall, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1780975151
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35 125731 Issued in OH
Practice address
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone
(513) 584-6484
Fax
(317) 806-8296
NPI assigned
Apr 20, 2011
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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 35 125731 OH Primary

Addresses

Primary practice location

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone (513) 584-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20160707002194 OH Practitioner - Diagnostic Radiology 1951549328 Reassigns benefits to 3 organizations
I20220809001877 IN Practitioner - Diagnostic Radiology 1951549328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 7618960303, 74 clinicians
Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Health Gateway Services Inc CurrentSince Mar 16, 2026 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Henry County Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince May 12, 2026 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

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

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

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

3095 Dayton Xenia Rd
Ste 100
Dayton, OH 45434
Phone (937) 531-7902

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 558-3800

6661 Clyo Rd
Dayton, OH 45459
Phone (937) 425-4000

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

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

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1780975151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "513-584-6484",
            "fax_number": "317-806-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "513-584-6484",
            "fax_number": "317-806-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMHALL",
        "first_name": "JASON",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35 125731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.