NPIMap

Individual provider Active NPI

Sanjay Kedia, MD

  • Diagnostic Radiology Physician
  • Pittsfield, MA
National Provider Identifier
1972556678
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
216684 Issued in MA
Practice address
725 North St
Radiology Department
Pittsfield, MA 01201-4132
Phone
(413) 447-2453
Fax
(413) 447-2441
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 216684 MA Primary

Addresses

Primary practice location

725 North St
Radiology Department
Pittsfield, MA 01201-4132

Mailing address

PO Box 1243
Pittsfield, MA 01202-1243
Phone (413) 447-2453

Other identifiers 2

IdentifierTypeStateIssuer
02410539MedicaidNY
2003767MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101123001016 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5294628442
I20241023001215 FL Practitioner - Diagnostic Radiology 5294628442 Reassigns benefits to 1 organization
I20241219000366 NC Practitioner - Diagnostic Radiology 5294628442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Charlotte, NC 28277
Phone (813) 929-5451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216684MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince May 1, 2025 Accepting new patients
Park Plaza Radiology, Inc Diagnostic Radiology Past Accepting new patients
X-Ray, Inc. Diagnostic Radiology Past Accepting new patients
Greater Flint Imaging Center Diagnostic Radiology Past Accepting new patients
Associated Radiologists of Flint PC Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients

Locations

9441 Health Center Dr
Land O Lakes, FL 34637
Phone (813) 903-3700

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: skedia2024682@adventhealth.direct-ci.com

Organizations & group practices 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972556678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012021243",
            "telephone_number": "413-447-2453",
            "fax_number": "413-447-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014132",
            "telephone_number": "413-447-2453",
            "fax_number": "413-447-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDIA",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "216684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02410539",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.