Active NPI
John Kerman, MD
- Diagnostic Radiology Physician
- Edgewood, KY
National Provider Identifier
1851383251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 24536
- Practice address
- 1 Medical Village Dr
Attn: Radiology Department
Edgewood, KY 41017-3403 - Phone
- (859) 301-2160
- Fax
- (859) 301-3932
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24536 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 24536 | KY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 35051630 | OH |
Addresses
Primary practice location
1 Medical Village Dr
Attn: Radiology Department
Edgewood, KY 41017-3403
Mailing address
PO Box 932163
Cleveland, OH 44193-0001
Phone (586) 412-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0672286 | Medicaid | OH | |
| 300013436 | Other | RRMC | |
| 64245368 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35051630 | OH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1851383251",
"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": "441930001",
"telephone_number": "586-412-4000",
"fax_number": "586-412-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-301-2160",
"fax_number": "859-301-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMAN",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "24536",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "24536",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35051630",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0672286",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "300013436",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64245368",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.