Keith L. Mullenger, M.D.
NPI 1366481079ActiveIndividual· Radiology, Diagnostic Radiology· Jupiter, FL
Radiology, Diagnostic Radiology (M.D.) in Jupiter, Florida, trained at Washington University School of Medicine (class of 1978). Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1366481079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | ME89087 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL) |
|---|
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 1978 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Impression Imaging LLCCoral Springs, FL · 38 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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