Kenosha Radiology Center LLC.
NPI 1770540130 · Radiology Clinic/Center · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenosha Radiology Center LLC. is a Radiology Clinic/Center organization in Kenosha, WI (NPI 1770540130).
Provider details
- NPI number
- 1770540130
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Pallin, President(262) 697-7770
- License
- XM310472 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,379 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 207 | $120 |
| Screening 3d Breast Mammography77063 | 198 | $49 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 138 | $181 |
| 3d Radiographic Procedure76376 | 100 | $21 |
| Mri Scan of Leg Joint Without Contrast73721 | 84 | $182 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 63 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kenosha Radiology Center LLC.'s NPI number?
- Kenosha Radiology Center LLC.'s National Provider Identifier (NPI) is 1770540130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Radiology Center LLC.?
- Kenosha Radiology Center LLC. is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kenosha Radiology Center LLC. located?
- Kenosha Radiology Center LLC.'s practice location on file with NPPES is 10117 74th St, Kenosha, WI 53142-7533.
- What is Kenosha Radiology Center LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Kenosha Radiology Center LLC. is (262) 697-7770.
- Does Kenosha Radiology Center LLC. accept Medicare?
- Kenosha Radiology Center LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenosha Radiology Center LLC.?
- The authorized official listed on Kenosha Radiology Center LLC.'s NPPES record is John Pallin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Radiology Center LLC.'s NPI active?
- Yes — Kenosha Radiology Center LLC.'s NPI (1770540130) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.