Individual provider Active NPI

Paul A. Pathadan, M.D.

  • Diagnostic Radiology Physician
  • Kent, OH
National Provider Identifier
1861444648
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-07-6559-P Issued in OH
Practice address
1675 E Main St # 328
Ohio Imaging Associates, Inc
Kent, OH 44240-5818
Phone
(330) 593-1049
Fax
(330) 677-8770
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 35-07-6559-P OH Primary

Addresses

Primary practice location

1675 E Main St # 328
Ohio Imaging Associates, Inc
Kent, OH 44240-5818

Mailing address

1675 E Main St # 328
Ohio Imaging Associates, Inc
Kent, OH 44240-5818
Phone (330) 593-1049

Other identifiers 2

IdentifierTypeStateIssuer
2126694MedicaidOH
P01573668OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR2 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
I20040325001173 OH Practitioner - Diagnostic Radiology 1052203056 Reassigns benefits to 2 organizations
I20230524000227 AR Practitioner - Diagnostic Radiology 1052203056 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Nov 1, 2007 Accepting new patients
Mountain Home Radiology Consultants Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Wilson Interventional Clinic PA Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
X-Ray, Inc. Diagnostic Radiology Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1861444648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E MAIN ST # 328",
            "address_2": "OHIO IMAGING ASSOCIATES, INC",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405818",
            "telephone_number": "330-593-1049",
            "fax_number": "330-677-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E MAIN ST # 328",
            "address_2": "OHIO IMAGING ASSOCIATES, INC",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405818",
            "telephone_number": "330-593-1049",
            "fax_number": "330-677-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHADAN",
        "first_name": "PAUL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-07-6559-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01573668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.