Individual provider Active NPI

Robert Karl Pugh, MD

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1811279185
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.140553 Issued in OH
Practice address
3535 Southern Blvd
Dayton, OH 45429-1221
Phone
(937) 395-8627
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.247810 OH
Diagnostic Radiology Physician 2085R0202X 35.140553 OH Primary

Addresses

Primary practice location

3535 Southern Blvd
Dayton, OH 45429-1221

Mailing address

PO Box 932163
Cleveland, OH 44193-0008

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

Other practice location 2

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-7355

Other identifiers 1

IdentifierTypeStateIssuer
7100180070MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/a

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240531000095 KY Practitioner - Diagnostic Radiology 0244401115 Reassigns benefits to 1 organization
I20240822004688 FL Practitioner - Diagnostic Radiology 0244401115 Reassigns benefits to 2 organizations
I20251211002982 OH Practitioner - Diagnostic Radiology 0244401115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

10793 Timber Creek Dr
Fort Myers, FL 33913-0070
Phone (859) 301-2160

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

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, Physician Assistant

State licenses

LicenseStateTypeSpecialty
35.140553OHMDDiagnostic Radiology Physician
57.247810OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Independence Urgent Care LLC Current Accepting new patients
University of Cincinnati Physicians Company, LLC Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
Center for Advanced Spine Technologies Inc Past Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Kettering Medical Center Past Accepting new patients

Locations (25 of 59)

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

2025 Declaration Dr
Independence, KY 41051
Phone (859) 363-3330

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

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

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

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

6438 Wilmington Pike
Ste 120
Dayton, OH 45459
Phone (937) 558-3800

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

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

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

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

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

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

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1811279185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932163",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 MEDICAL VILLAGE DR",
            "address_purpose": "LOCATION",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3188 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192369",
            "country_code": "US",
            "telephone_number": "513-584-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "ROBERT",
        "middle_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.247810",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.140553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100180070",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "234 Goodman St",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.