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

Nikhil Reddy Kanthala

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063971380

Nikhil Reddy Kanthala is a Diagnostic Radiology in Newark, Delaware. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Mercy Diagnostic Imaging PC, a 87-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NJ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone: (302) 733-1000
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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 25MB12346800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063971380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address4755 Ogletown Stanton Rd, Newark, DE 19718-2200

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Mercy Diagnostic Imaging Pc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newark