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

Kenneth Alan Buckwalter, MD

Individual provider Diagnostic Radiology Physician · NPI 1255379996

Kenneth Alan Buckwalter, MD is a Diagnostic Radiology in Ann Arbor, Michigan. Qualified in 1981, 45 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
45
Licensed in
IN, MI
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

1500 E Medical Center Dr 2nd Fl Taubman Center Recp A
Ann Arbor, MI 48109-5326
Phone: (734) 936-4500
Show map & directions

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

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-6793

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301048588 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01037783 (IN)

Record details

NPI number1255379996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESDecember 6, 2018
Mailing address3621 S State St, Ann Arbor, MI 48108-1633

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations27 on file with Medicare

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