Individual provider Active NPI

Johnathan Randall Kingyon, MD

  • Diagnostic Radiology Physician
  • Iowa City, IA
National Provider Identifier
1942867411
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R-11503 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(800) 777-8442
NPI assigned
May 21, 2019
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 85512-20 WI
Diagnostic Radiology Physician 2085R0202X R-11503 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr Dept of
Iowa City, IA 52242-1009
Phone (319) 356-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, WI3 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
I20250527002042 KS Practitioner - Diagnostic Radiology 7810223021 Reassigns benefits to 4 organizations
I20250712000222 MO Practitioner - Diagnostic Radiology 7810223021 Reassigns benefits to 4 organizations
I20250812002207 WI Practitioner - Diagnostic Radiology 7810223021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Radiology PAGroup PAC ID 8426961517, 37 clinicians
Johnson County Imaging Center LLCGroup PAC ID 8628978053, 31 clinicians
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians
Regional Imaging, LLCGroup PAC ID 5991713885, 15 clinicians

Practice addresses (Care Compare)

Roeland Park, KS 66205
Phone (913) 599-6777

Overland Park, KS 66210
Phone (913) 599-6777

1 Mt Carmel Way
Pittsburg, KS 66762-7587
Phone (913) 599-6777

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 781-2727

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 599-6777

116 N Maple St
Cherryvale, KS 67335-1729
Phone (913) 599-6777

11717 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-8998

1301 S Main St
Alliance Radiology
Ottawa, KS 66067-3537
Phone (913) 599-6777

16950 W 86TH St
Lenexa, KS 66219-4506
Phone (913) 599-6777

1902 S US Hwy 59
Parsons, KS 67357-4948
Phone (913) 599-6777

2613 S Sante Fe Ave
Chanute, KS 66720-3206
Phone (913) 599-6777

3210 NE Carnegie Dr
Lees Summit, MO 64064-3201
Phone (913) 469-8998

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 599-6777

510 Peter Pan Rd
Suite a
Independence, KS 67301-7308
Phone (913) 599-6777

5300 Indian Creek Pkwy
Overland Park, KS 66207-3850
Phone (913) 469-8998

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

7025 College Blvd
Overland Park, KS 66211-1523
Phone (913) 599-6777

7820 W 165TH St
Radiology Department
Overland Park, KS 66223-2925
Phone (913) 599-6777

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

8000 College Blvd
Overland Park, KS 66210-1822
Phone (913) 338-3344

9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2310

9778 N Ash Ave
Kansas City, MO 64157-9742
Phone (913) 469-8998

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Chippewa Valley Hospital & Oakview Care Center, Inc. Current Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Alliance Radiology, PA Diagnostic Radiology CurrentSince May 15, 2025 Accepting new patients
Bates County Memorial Hospital CurrentSince Jun 9, 2025 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Chippewa Valley Hospital & Oakview Care Center Inc. Diagnostic Radiology CurrentSince Jun 13, 2025 Accepting new patients
Bates County Memorial Hospital CurrentSince Jun 9, 2025 Accepting new patients
Johnson County Imaging Center LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Nevada City Hospital CurrentSince Jul 11, 2025 Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Nevada City Hospital CurrentSince Jul 11, 2025 Accepting new patients
Regional Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

11717 W 112th St
Overland Park, KS 66210

12000 W 110th St
Ste 500
Overland Park, KS 66210

8000 College Blvd
Overland Park, KS 66210
Phone (913) 338-3344

8005 W 110th St
Ste 214
Overland Park, KS 66210
Phone (913) 599-6677

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3210 NE Carnegie Dr
Lees Summit, MO 64064

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1942867411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR DEPT OF",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3444",
            "fax_number": "319-384-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "800-777-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGYON",
        "first_name": "JOHNATHAN",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "85512-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R-11503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.