NIKHIL REDDY KANTHALA
NPI 1063971380
Radiology - Diagnostic Radiology in Newark, DE

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1000 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2024, Sep 18, 2024, Mar 16, 2019 (3 updates tracked since 2019).

About Nikhil Reddy Kanthala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKHIL REDDY KANTHALA (NPI 1063971380) is an individual diagnostic radiology provider in Newark, Delaware, licensed in New Jersey (25MB12346800) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1063971380
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNIKHIL REDDY KANTHALA
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateMarch 16, 2019
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1063971380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NJ · 25MB12346800
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4755 OGLETOWN STANTON RD, Newark, DE 19718

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikhil Reddy Kanthala is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618202151
PECOS Enrollment IDI20241104001099, I20250904002565, I20250912000029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

11

Medicare enrollment records show Nikhil Kanthala reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Delaware, New Jersey and Pennsylvania enrollments
  • 35 clinicians in this Medicare group
Diagnostic Radiology
94 OLD SHORT HILLS RD, DEPARTMENT OF RADIOLOGY
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Imaging Consultants Of Essex PA
  • 21 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
159 N 3RD ST
Macclenny, FL 32063
  • Reassigned Medicare billing, New Jersey enrollment
Rural Health
2421 WORTH ST
Hemphill, TX 75948
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
Rural Health
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
Family Medicine
310 S PECOS ST
Coleman, TX 76834
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
Rural Health
399 REID RD
Junction, TX 76849
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
Rural Health
EISENHOWER-FM 2185
Van Horn, TX 79855
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
Critical Access
321 MADISON STREET
Sheridan, MT 59749
  • Reassigned Medicare billing, Montana enrollment
  • 41 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikhil Kanthala's NPI number?

The NPI number for Nikhil Kanthala is 1063971380. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Nikhil Kanthala located?

Nikhil Kanthala practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1000.

What is Nikhil Kanthala's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nikhil Kanthala enrolled in Medicare?

Yes. Nikhil Kanthala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nikhil Kanthala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Kanthala reassigns Medicare benefits to 11 organizations: Mercy Diagnostic Imaging PC (Darby, PA), Imaging Consultants Of Essex, P.A. (Livingston, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Baker Community Health Center Inc (Macclenny, FL), Preferred Hospital Leasing Hemphill, Inc. (Hemphill, TX) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikhil Kanthala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Kanthala accept?

Health plans from Blue Cross and Blue Shield of Texas, Mountain Health CO-OP and UnitedHealthcare list Nikhil Kanthala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nikhil Kanthala affiliated with any hospitals?

According to CMS data, Nikhil Kanthala is affiliated with Cooperman Barnabas Medical Center, Mercy Catholic Medical Center- Mercy Fitzgerald, Nazareth Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Kanthala was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.