KENNEWICK RADIOLOGY GROUP, PC
NPI 1730711854
Radiology - Diagnostic Radiology in San Mateo, CA
About Kennewick Radiology Group, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEWICK RADIOLOGY GROUP, PC (NPI 1730711854) is a healthcare organization registered as a diagnostic radiology in San Mateo, California and active in the NPI registry since February 2020. The organization lists Amy Elizabeth Steele, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennewick Radiology Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Kennewick Radiology Group, PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kennewick Radiology Group, PC's NPI number?
The NPI number for Kennewick Radiology Group, PC is 1730711854. It was assigned to this organization in the NPPES registry on February 6, 2020.
Where is Kennewick Radiology Group, PC located?
Kennewick Radiology Group, PC is located at 728 Murphy Dr, San Mateo, CA 94402. The listed phone number is (858) 546-3800.
What is Kennewick Radiology Group, PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kennewick Radiology Group, PC enrolled in Medicare?
Yes. Kennewick Radiology Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kennewick Radiology Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Kennewick Radiology Group, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kennewick Radiology Group, PC was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kennewick Radiology Group, Pc · NPI 1730711854
Diagnostic Radiology organization in San Mateo, California. Organization record, active in the CMS NPPES registry since February 6, 2020.
## Identity
- **NPI:** 1730711854 (Entity type: Organization)
- **Enumerated:** February 6, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Amy Steele, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 728 MURPHY DR, San Mateo, CA 94402-3421
- **Phone:** (858) 546-3800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730711854) · Data from the CMS NPPES public registry.