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

Kevin Boslan Napitupulu

Individual provider Diagnostic Radiology Physician · NPI 1538629068

Kevin Boslan Napitupulu practises Diagnostic Radiology in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2019, 7 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

11234 Anderson St Ste MC-B622
Loma Linda, CA 92354-2804
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2115 Leiter Rd, Miamisburg, OH 45342-3600 — (937) 384-6800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A178740 (CA)

Record details

NPI number1538629068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients252
Services billed 414 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Faculty Physicians and Surgeons of Llusm

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1308 clinicians in the practice; 12 are shown here.

Other providers in Loma Linda