OrganizationActive
Bluegrass Regional Imaging LLC
NPI 1417110842 · Diagnostic Radiology Physician · Lexington, KY
Provider details
- NPI number
- 1417110842
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Kostelic, Member(859) 219-0542
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Fountain Ct
Suite 140
Lexington, KY 40509-1888
Phone: (859) 629-7230
Fax: (859) 629-7231
Street-level locationGet directions
Mailing address
651 Perimeter Dr Ste 690
Lexington, KY 40517-4356
Registry dates
- Enumerated
- 2008-07-07
- Last updated
- 2026-03-27
- Certified
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.