Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Lynn Wallentin, MD

Individual provider Diagnostic Radiology Physician · NPI 1265665707

Cynthia Lynn Wallentin, MD is a Diagnostic Radiology in Cranston, Rhode Island. Qualified in 2009, 17 years ago. Practices with Louisville Radiology Imaging Consultants PLLC, a 107-clinician group. Licensed in Illinois, Missouri and Rhode Island.

Years since qualifying
17
Licensed in
IL, MO, RI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

239 Garden City Dr
Cranston, RI 02920-8215
Phone: (952) 595-1100
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD15146 (RI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036151485 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2020040857 (MO)

Record details

NPI number1265665707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 1, 2009
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Louisville Radiology Imaging Consultants Pllc — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations15 on file with Medicare

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