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

Kenneth Edgar, MD

Individual provider Diagnostic Radiology Physician · NPI 1649278904

Kenneth Edgar, MD is a Diagnostic Radiology in Venetia, Pennsylvania. Graduated from University of Michigan Medical School in 1993, 33 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Pennsylvania, Texas and Virginia.

Years since qualifying
33
Trained at
University of Michigan Medical School
Licensed in
PA, TX, VA
In the registry since
2005
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

373 McCombs Rd
Venetia, PA 15367-1342
Phone: (855) 687-7237
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 MD065024L (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence T3273 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101253287 (VA)

Record details

NPI number1649278904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address4040 E Camelback Rd Ste 250, Phoenix, AZ 85018-8350

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

Other providers in Venetia