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

Dr. Jon K Kostelic, MD

Individual provider Diagnostic Radiology Physician · NPI 1700842275

Dr. Jon K Kostelic, MD is a Diagnostic Radiology in Lexington, Kentucky. Graduated from Medical College of Wisconsin in 1991, 35 years ago. Practices with Central Kentucky Radiology PLLC, a 54-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
35
Trained at
Medical College of Wisconsin
Licensed in
KY
In the registry since
2006
Specialties on file
2
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

1218 S Broadway Ste 310
Lexington, KY 40504-2759
Phone: (859) 219-0542
Fax: (859) 219-9433
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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 32646 (KY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 32646 (KY)

Record details

NPI number1700842275
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESMarch 22, 2017
Mailing address1218 South Broadway, Suite 310, Lexington, KY 40504-2759

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1991 (35 years in practice)
Group practice Central Kentucky Radiology Pllc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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