Michael Caccamo
KETTERING NETWORK RADIOLOGISTS INC


Address: 3535 Southern Blvd, Kettering, OH 45429-1221
Phone: 9372967227

Michael Caccamo (NPI# 1053303149, PAC ID# 7214824234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1053303149
PAC ID by PECOS 7214824234
Professional Enrollment ID I20040303000521
Full Name Michael Caccamo
Organization Legal Name KETTERING NETWORK RADIOLOGISTS INC
Address 3535 Southern Blvd
Kettering
OH 45429-1221
Phone Number 9372967227
Gender M
Credential DO
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1990
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 7618960303
Number of Group Practice Members 51
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360360 SOIN MEDICAL CENTER
360079 KETTERING MEDICAL CENTER
360026 GREENE MEMORIAL HOSPITAL
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS
360239 KETTERING MEDICAL CENTER - SYCAMORE

Other Locations

Address Phone Organization
3535 Southern Blvd, Kettering, OH 45429-1221 9372967227 KETTERING NETWORK RADIOLOGISTS INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Organization Legal Name KETTERING NETWORK RADIOLOGISTS INC
Physicians 41

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Maanasi Rajaram Burak Diagnostic Radiology Kettering Network Radiologists Inc 3416 Drexel Dr, Dallas, TX 75205-2904
Ana L Keppke Diagnostic Radiology Kettering Network Radiologists Inc 6147 State Route 122, Middletown, OH 45005-5201
Erich H Muckala Diagnostic Radiology Kettering Network Radiologists Inc 5000 Tower Bridge Ct, Edmond, OK 73034-0857
Dhananjay V Paranjpe Diagnostic Radiology Kettering Network Radiologists Inc 405 Grand Ave, Dayton, OH 45405-4720
Neil W Baron Diagnostic Radiology Kettering Network Radiologists Inc 128 Corbata Ln, St Augustine, FL 32095-7097
Wilfredo J Suntay Diagnostic Radiology Kettering Network Radiologists Inc 100 Kettering Way, Franklin, OH 45005-1155
Bryan J Canty Diagnostic Radiology Kettering Network Radiologists Inc 4456 Ridgewood Ln S, Billings, MT 59106-4739
Richard A Mckenzie Diagnostic Radiology Kettering Network Radiologists Inc 100 Kettering Way, Franklin, OH 45005-1155

Office Location

Street Address 3535 SOUTHERN BLVD
City KETTERING
State OH
Zip 45429-1221

Physicians in the same location

Name Specialty Organization Address
Sylvia Polenakovik Internal Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Swathi Datla Family Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Jeremy L Chapman Internal Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45428-1221
Timberly De Ann Harvey Certified Registered Nurse Anesthetist (crna) Kettering Anesthesia Associates, Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Chalana U Gunawardena Hospitalist Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45428-1221
Julia Anne Balandiat Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Nicole K Hammock Nurse Practitioner South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
David B Jackson Emergency Medicine Emergency Medicine Specialists Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Kelley Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Daniel Lucian Butnariu Critical Care (intensivists) South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
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Physicians in the same zip code

Name Specialty Organization Address
Michael David Johnson General Surgery Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Benjamin Gentry Pathology Kettering Pathology Associates Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Bradley A. Wisler Anesthesiology Kettering Anesthesia Associates, Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Lori E Bickett Nurse Practitioner South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Ersie Pouagare Pathology Regional Pathology Services Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Renjini Rachel Thomas Internal Medicine South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Scott J Arnold Pathology Regional Pathology Services Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Valerie A Aliu Internal Medicine South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Justin Stafford Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
John Petty Physical Medicine and Rehabilitation 3535 Southern Blvd, Kettering, OH 45429-1221
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Competitor

Search similar physicians

City KETTERING
Zip Code 45429
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty KETTERING + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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