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

Dr. Kristopher Allen Tantillo, MD

Individual provider Diagnostic Radiology Physician · NPI 1891061420

Dr. Kristopher Allen Tantillo, MD is a Diagnostic Radiology in Raleigh, North Carolina. Graduated from New York Medical College in 2012, 14 years ago. Practices with Wake Radiology Consultants PA, a 73-clinician group and accepts Medicare assignment. Licensed in North Carolina, New Jersey and Pennsylvania.

Years since qualifying
14
Trained at
New York Medical College
Licensed in
NC, NJ, PA
In the registry since
2012
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

3949 Browning Pl
Raleigh, NC 27609-6536
Phone: (919) 787-7411
Fax: (919) 789-4461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2021-02153 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA10744300 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD460445 (PA)

Record details

NPI number1891061420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2012 (14 years in practice)
Group practice Wake Radiology Consultants Pa — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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