Individual provider Active NPI

Patrick W Pagur, DO

  • Diagnostic Radiology Physician
  • Kettering, OH
National Provider Identifier
1962452797
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34007387 Issued in OH
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 296-7202
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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 34007387 OH Primary

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

Box 713083
Columbus, OH 43271-3083
Phone (614) 430-5707

Other identifiers 1

IdentifierTypeStateIssuer
2480113MedicaidOH

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
I20040624001724 OH Practitioner - Diagnostic Radiology 5890693535 Reassigns benefits to 3 organizations
I20220104001431 IN Practitioner - Diagnostic Radiology 5890693535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1000

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 252-2000

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-1131

113 W National Rd
Vandalia, OH 45377-1934
Phone (937) 898-9729

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2060

1222 S Patterson Blvd
Suite 400
Dayton, OH 45402-2642
Phone (937) 496-2600

1250 W National Rd
Englewood, OH 45315-9505
Phone (937) 832-3300

1343 N Fountain Blvd
Springfield, OH 45504-1499
Phone (937) 342-5400

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

1840 Springfield Rd
Fairborn, OH 45324-7667
Phone (937) 532-8780

1977 Miamisburg Centerville Rd
Dayton, OH 45459-3811
Phone (937) 439-6000

210 N Main St
London, OH 43140-1115
Phone (937) 395-8627

2100 Emmanuel Way
Springfield, OH 45502-7217
Phone (937) 384-4510

2300 N Limestone St
Springfield, OH 45503-1102
Phone (937) 504-8300

2449 Ross Millville Rd
Hamilton, OH 45013-8951
Phone (513) 867-5770

3371 Kemp Rd
Beavercreek, OH 45431-2514
Phone (937) 558-3000

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 296-7227

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136

450 B Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 352-2070

5095 University Park Blvd
Oxford, OH 45056-9384
Phone (513) 523-2340

580 Lincoln Park Blvd
Suite 200
Dayton, OH 45429-3493
Phone (937) 299-0099

600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7000

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34007387OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Henry County Hospital Inc CurrentSince Oct 31, 2025 Accepting new patients
Kettering Medical Center Past Accepting new patients
Far Hills Open MRI Inc PastSince Apr 30, 2003 Accepting new patients
Dr L Reynolds Assoc PC Past Accepting new patients
Kettering Radiologist Imaging Center Diagnostic Radiology Past Accepting new patients

Locations (25 of 59)

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

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

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

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

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

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

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 395-8666

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

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

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

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

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

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

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

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

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.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1962452797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 713083",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432713083",
            "telephone_number": "614-430-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-296-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGUR",
        "first_name": "PATRICK",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34007387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.