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KEVIN BOSLAN NAPITUPULU
NPI 1538629068
Radiology - Diagnostic Radiology in Loma Linda, CA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST STE MC-B622, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 24, 2025, Jun 6, 2024, Apr 19, 2024 and 1 more (4 updates tracked since 2019).

About Kevin Boslan Napitupulu NPPES

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

KEVIN BOSLAN NAPITUPULU (NPI 1538629068) is an individual diagnostic radiology provider in Loma Linda, California, licensed in California (A178740) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miamisburg, and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1538629068
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN BOSLAN NAPITUPULU
Location Address11234 ANDERSON ST STE MC-B622Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St Ste Mc-b622Loma Linda, CA 92354-2804 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateDecember 24, 20254 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1538629068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A178740
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11234 ANDERSON ST STE MC-B622, Loma Linda, CA 92354
Open in Google Maps ↗

Secondary Practice Location 1

Location 12115 Leiter RdMiamisburg, OH 45342-3600 · Phone (937) 384-6800 · Fax (937) 384-6938

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

Kevin Boslan Napitupulu 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 ID7517208838
PECOS Enrollment IDI20240520002160
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

3

Medicare enrollment records show Kevin Napitupulu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1477503407 (909) 558-4000
San Antonio Radiological Medical
22 mi
Diagnostic Radiology
999 SAN BERNARDINO RD
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1457396947 (909) 466-4231
Usc Care Medical Group, Inc
54 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
266 services192 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
50 services39 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services22 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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

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

RAYMOND TORRES SCOTT
Radiology (Diagnostic Radiology)
11234 ANDERSON ST STE MC-B622
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000

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 Kevin Napitupulu's NPI number?

The NPI number for Kevin Napitupulu is 1538629068. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Kevin Napitupulu located?

Kevin Napitupulu practices at 11234 Anderson St Ste Mc-B622, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Kevin Napitupulu's specialty?

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

Is Kevin Napitupulu enrolled in Medicare?

Yes. Kevin Napitupulu 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 Kevin Napitupulu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Napitupulu reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), San Antonio Radiological Medical (Upland, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). 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 Kevin Napitupulu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Napitupulu was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.