DR. KENNETH LESLIE GAGE M.D. PH.D. NPI 1669640348

NPI Information

  • NPI: 1669640348
  • Provider Name: DR. KENNETH LESLIE GAGE, M.D., PH.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 SAN PABLO RD S
    JACKSONVILLE, FL
    ZIP 32224
  • Phone: (904) 953-2000

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NPI Details

DR. Kenneth Leslie Gage, M.D., PH.D. is a diagnostic radiology radiology in Jacksonville, FL with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kenneth Leslie Gage, M.D., PH.D. NPI is 1669640348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000

The NPI 1669640348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Nuclear medicine study, multiple areas with spect and concurrent ct scan (HCPCS:78832)
  • Radioactive drug therapy through a vein (HCPCS:79101)
  • Nuclear medicine study of whole body for thyroid cancer (HCPCS:78018)
  • Nuclear medicine study of lymphatic system (HCPCS:78195)
  • Nuclear medicine study of thyroid function for thyroid cancer (HCPCS:78020)

The enumeration date for this NPI number is 2/14/2008 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207U00000XNuclear MedicineME119590FLORIDANo
22085N0904XRadiologyNuclear RadiologyME119590FLORIDANo
32085R0202XRadiologyDiagnostic RadiologyME119590FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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