Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEVIN MASON DO
NPI 1811458789
Radiology - Pediatric Radiology in Indianapolis, IN

Q: What is Kevin Mason's NPI number?

The NPI number for Kevin Mason is 1811458789. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Kevin Mason's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mason was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since March 25, 2019PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 274-7804 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Jun 16, 2025, Jan 30, 2021 (3 updates tracked since 2021).

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About Dr. Kevin Mason Do NPPES

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

DR. KEVIN MASON DO (NPI 1811458789) is an individual pediatric radiology provider in Indianapolis, Indiana, licensed in Indiana (02009296A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811458789

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameDR. KEVIN MASONCredential: DO

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-7804

Sole ProprietorNo

Enumeration DateMarch 25, 2019

Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1811458789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in IN · 02009296A

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Mason Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)