Derik K. Kenworthy, DO
NPI 1861726077ActiveIndividual· Radiology, Diagnostic Radiology· Edina, MN
Radiology, Diagnostic Radiology (DO) in Edina, Minnesota, trained at At Still Un of Hlth Sciences, Col of Osteo Med, Mesa (class of 2019). Medicare paid $786.00 for services to 17 patients in 2024.
Overview
| NPI | 1861726077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 22, 2009 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | DO220167 | OR |
| Radiology, Diagnostic Radiology | 2085R0202X | 05-50096 | KS |
| Radiology, Diagnostic Radiology | 2085R0202X | OS21657 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | MED-PHYS-LIC-148473 | MT |
| Radiology, Diagnostic Radiology | 2085R0202X | V3891 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | 8833 | OK |
| Radiology, Diagnostic Radiology | 2085R0202X | DR.0074105 | CO |
| Radiology, Diagnostic Radiology | 2085R0202X | 14225604-1204 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CO); Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (KS); Practitioner - Diagnostic Radiology (MT); Practitioner - Diagnostic Radiology (OR); Practitioner - Diagnostic Radiology (TX); Practitioner - Diagnostic Radiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 18 across 12 procedure codes |
| Paid by Medicare | $786.00 |
Education and affiliations
| Medical school | At Still Un of Hlth Sciences, Col of Osteo Med, Mesa |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Singleton Associates PATyler, TX · 838 clinicians
- Bay Area Hospital DistrictCoos Bay, OR · 122 clinicians
- Lower Umpqua Hospital DistrictReedsport, OR · 41 clinicians
- Kane County Human Resource Special Service DistrictKanab, UT · 37 clinicians
- Gonzales Healthcare SystemsGonzales, TX · 36 clinicians
- Minneola District Hospital Nbr 2Minneola, KS · 32 clinicians
- Castro County Hospital DistrictDimmitt, TX · 29 clinicians
- Medlink Management Services IncLake Butler, FL · 28 clinicians
- Baker Community Health Center IncMacclenny, FL · 25 clinicians
- Inspire Radiology Group 2 LLCMontana City, MT · 24 clinicians
- Dawson County Hospital DistrictLamesa, TX · 24 clinicians
- Inspire Radiology Group LLCLawrence, KS · 14 clinicians
Hospital affiliations
- Bay Area HospitalCoos Bay, OR
- Ed Fraser Memorial HospitalMacclenny, FL
- McKenzie-Willamette Medical CenterSpringfield, OR
- Memorial HospitalGonzales, TX
- Yoakum Community HospitalYoakum, TX
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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