Individual provider Active NPI

Nathan Daniel Bennington, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
National Provider Identifier
1972777589
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34009515 Issued in OH
Practice address
1805 27TH St
Portsmouth, OH 45662-2640
Phone
(740) 356-8117
Fax
(740) 353-1214
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 DOC-034 GU
Diagnostic Radiology Physician 2085R0202X 34009515 OH Primary

Addresses

Primary practice location

1805 27TH St
Portsmouth, OH 45662-2640

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 2

IdentifierTypeStateIssuer
7100287200MedicaidKY
0054574MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathan.bennington@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, GU, TX, CO, WV6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20110805000062 OH Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 20 organizations
I20190419000414 KY Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 7 organizations
I20240423000796 GU Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 3 organizations
I20240911002856 TX Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 2 organizations
I20250203000346 CO Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 1 organization
I20260219002976 WV Practitioner - Diagnostic Radiology 2668641820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians
Arh Tug Valley Health Services, Inc.Group PAC ID 4183953805, 108 clinicians
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, 87 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians
Infinity Teleradiology LLCGroup PAC ID 9830630854, 30 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Cumberland County Hospital Association Inc.Group PAC ID 9830006618, 30 clinicians
Norton Clark Physician Practices LLCGroup PAC ID 0840504114, 49 clinicians
Premier Imaging and Intervention PLLCGroup PAC ID 4587562335, 23 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Minford, OH 45653
Phone (606) 439-1331

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

1705 Jackson St
Richmond, TX 77469-3246
Phone (479) 452-9416

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

207 Plummers LN
Vanceburg, KY 41179-7683
Phone (606) 796-0010

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4823

2920 Quarry Rd
Maumee, OH 43537-8627
Phone (480) 306-6949

299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511

397 Timberleaf Dr
Beavercreek, OH 45430-2099
Phone (812) 285-5985

585 A White Gravel McDaniel Rd
Minford, OH 45653-8812
Phone (812) 285-5985

585 White Gravel McDaniel Rd
Minford, OH 45653-8812
Phone (270) 659-5613

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

  • Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
  • Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
83.57
Improvement activities
40
Cost
76.16

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3903WVMDGeneral Practice Dentistry
DOC-034GUMDDiagnostic Radiology Physician
34009515OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Hospital, Inc CurrentSince Jan 28, 2026 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Cardiovascular Imaging Services, Inc. Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Mar 10, 2024 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Huerfano County Hospital District CurrentSince Jan 14, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Current Accepting new patients
T J Samson Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Dec 27, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jan 11, 2023 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 20, 2023 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 5, 2023 Accepting new patients
WRH Physicians, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology CurrentSince May 7, 2022 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 5, 2026 Accepting new patients
Miispine Diagnostic Radiology CurrentSince May 30, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince May 7, 2022 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 30, 2024 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 5, 2026 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jan 11, 2023 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince May 14, 2021 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Infinity Teleradiology LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Sep 29, 2024 Accepting new patients
Huerfano County Hospital District CurrentSince Jan 14, 2025 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Jun 3, 2023 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 3, 2023 Accepting new patients
Cumberland County Hospital Association Inc Diagnostic Radiology CurrentSince Dec 27, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
Appalachian Regional Healthcare, Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

2500 S 8th Ave
Ste 103
Yuma, AZ 85364
Phone (866) 614-8555

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Ofc
Tamuning, GU 96913

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

6420 Dutchmans Pkwy
Ste 160
Louisville, KY 40205
Phone (502) 242-6370

3930 Dutchmans Ln
Louisville, KY 40207

4700 Chamberlain Ln
#B
Louisville, KY 40241
Phone (502) 901-2010

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 45

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.

View all 45

Hospital & facility affiliations 7

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1972777589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622640",
            "telephone_number": "740-356-8117",
            "fax_number": "740-353-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGTON",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "DOC-034",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34009515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100287200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054574",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.bennington@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1805 27th St",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.