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

Kenneth Alan Buckwalter, MD

Individual provider Diagnostic Radiology Physician · NPI 1255379996

Kenneth Alan Buckwalter, MD is a Diagnostic Radiology in Ann Arbor, Michigan. Qualified in 1981, 45 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
45
Licensed in
IN, MI
In the registry since
2006
Specialties on file
2
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

1500 E Medical Center Dr 2nd Fl Taubman Center Recp A
Ann Arbor, MI 48109-5326
Phone: (734) 936-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (317) 962-6793

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301048588 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01037783 (IN)

Record details

NPI number1255379996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESDecember 6, 2018

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations27 on file with Medicare

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