JAMES M JOSEPH M.D.
NPI 1639190077
Radiology - Diagnostic Radiology in Cincinnati, OH

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
5400 KENNEDY AVE, CINCINNATI, OH 45213(513) 281-3400 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James M Joseph M.d. NPPES

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

JAMES M JOSEPH M.D. (NPI 1639190077) is an individual diagnostic radiology provider in Cincinnati, Ohio, licensed in Ohio (35.086440) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Ohio State University College Of Medicine (1998).

NPPES Registry Identity

NPI1639190077
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES M JOSEPHCredential: M.D.
Location Address5400 KENNEDY AVECincinnati, OH 45213-2664
Mailing Address5400 Kennedy AveCincinnati, OH 45213-2664 · (513) 281-3400
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1998
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1639190077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in OH · 35.086440✔ Licensed in IN · 01063165A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5400 KENNEDY AVE, Cincinnati, OH 45213

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

James M Joseph M.d. 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 ID8527033299
PECOS Enrollment IDI20050728000940, I20070727000049, I20180531001147
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

8

Medicare enrollment records show James Joseph reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Diagnostic Radiology
5400 KENNEDY AVE
Cincinnati, OH 45213
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
Diagnostic Radiology
5400 KENNEDY AVE
Cincinnati, OH 45213
  • Reassigned Medicare billing, Ohio enrollment
  • 90 clinicians in this Medicare group
Diagnostic Radiology
568 CENTRE VIEW BLVD
Crestview Hills, KY 41017
  • Reassigned Medicare billing, Kentucky enrollment
  • 51 clinicians in this Medicare group
Diagnostic Radiology
2400 E. 17TH STREET
Columbus, IN 47201
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 13 clinicians in this Medicare group
Diagnostic Radiology
2463 NICHOLASVILLE RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 48 clinicians in this Medicare group
Diagnostic Radiology
29877 TELEGRAPH RD # 11
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
Diagnostic Radiology
4375 JOHNS CREEK PKWY STE 300
Suwanee, GA 30024
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
Diagnostic Radiology
468 DELAWARE AVE, 2ND FLOOR SUITE 100
Buffalo, NY 14202
  • Reassigned Medicare billing, New York enrollment
  • 6 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.

Areas of Expertise CMS Part B claims 6

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.

Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
284 services279 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
193 services186 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
191 services191 patients
Mri scan of leg without contrast 73718
An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.
122 services121 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
52 services52 patients
Mri scan of middle spinal canal without contrast 72146
An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45213 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Improvement Activities40
Cost62.49

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.

Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Physical Therapist
5400 KENNEDY AVE
CINCINNATI, OH 45213
Clinic/Center (Primary Care)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213
Radiology (Diagnostic Radiology)
5400 KENNEDY AVE
CINCINNATI, OH 45213

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 James Joseph's NPI number?

The NPI number for James Joseph is 1639190077. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is James Joseph located?

James Joseph practices at 5400 Kennedy Ave, Cincinnati, OH 45213. The listed phone number is (513) 281-3400.

What is James Joseph's specialty?

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

Is James Joseph enrolled in Medicare?

Yes. James Joseph 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 James Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Joseph reassigns Medicare benefits to 8 organizations: Ct At Midtown (Cincinnati, OH), Proscan Radiology, LLC (Cincinnati, OH), Proscan Radiology Northern Kentucky, LLC (Crestview Hills, KY), Columbus Radiology Physicians LLC (Columbus, IN), Nicholasville Road Mri, LLC (Lexington, KY) and 3 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 James Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Joseph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James Joseph 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 James Joseph affiliated with any hospitals?

According to CMS data, James Joseph is affiliated with Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Joseph was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.