KENNEWICK RADIOLOGY GROUP, PC
NPI 1851865117
Radiology - Diagnostic Radiology in Walnut Creek, CA

Active since January 18, 2019
215 TIBURON CT, WALNUT CREEK, CA 94597(559) 455-4009 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennewick Radiology Group, Pc NPPES

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

KENNEWICK RADIOLOGY GROUP, PC (NPI 1851865117) is a healthcare organization registered as a diagnostic radiology in Walnut Creek, California and active in the NPI registry since January 2019. The organization lists Sandip Patidar, Owner, as its authorized official.

NPPES Registry Identity

NPI1851865117
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameKENNEWICK RADIOLOGY GROUP, PC
Location Address215 TIBURON CTWalnut Creek, CA 94597-3437
Mailing AddressPo Box 4030Pasco, WA 99302-4030
Organization SubpartNo
Authorized OfficialSandip PatidarOwner · (559) 455-4009
Enumeration DateJanuary 18, 2019
✔ NPI 1851865117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
215 TIBURON CT, Walnut Creek, CA 94597

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

6

Medicare 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)

Diagnostic Radiology
NPI 1679803977
902 W PEDREGOSA ST APT A
Santa Barbara, CA 93101
(805) 708-7976
✔ PECOS274 mi
Diagnostic Radiology
NPI 1528008125
2801 ATLANTIC AVE
Long Beach, CA 90806
(562) 933-1550
✔ PECOS✔ Accepts Medicare357 mi
Diagnostic Radiology
NPI 1225108533
2801 ATLANTIC AVE
Long Beach, CA 90806
(562) 933-1550
✔ PECOS357 mi
Diagnostic Radiology
NPI 1609165356
13280 EVENING CREEK DR S STE 110
San Diego, CA 92128
(858) 546-3800
✔ PECOS442 mi
Diagnostic Radiology
NPI 1205826237
4275 EXECUTIVE SQ SUITE 200
La Jolla, CA 92037
(858) 999-8599
✔ PECOS443 mi
Diagnostic Radiology
NPI 1134163314
8835 GERMANTOWN AVE
Philadelphia, PA 19118
(215) 707-7237
✔ PECOS✔ Accepts Medicare2,498 mi

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 1851865117. It was assigned to this organization in the NPPES registry on January 18, 2019.

Where is Kennewick Radiology Group, PC located?

Kennewick Radiology Group, PC is located at 215 Tiburon Ct, Walnut Creek, CA 94597. The listed phone number is (559) 455-4009.

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 January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.