Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth D Pearsen, MD

Diagnostic Radiology Physician in Williamsville, NY · enumerated 2006 · practices at Great Lakes Medical Imaging LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154387918

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Registry record

Entity type Individual (Type 1)

Name Dr. Kenneth D Pearsen

Credential MD

Sex Male

Practice address 111 N Maplemere Rd Ste 120, Williamsville, NY, 14221

Phone (716) 836-4646

Fax (716) 836-4696

Enumeration date Apr 21, 2006

Last updated in NPPES Aug 21, 2023

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 181834 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00025335602	Other	-	UNIVERA
P010181834	Other	-	BLUE CHOICE
01230148	Medicaid	NY	-
101326FF	Other	-	PREFERRED CARE
0142865	Other	-	GHI
P020181834	Other	-	BLUE SHIELD ROCHESTER
000911558011	Other	-	BLUE SHIELD WNY
P00005729	Other	-	RR MEDICARE
00025335605	Other	-	UNIVERA
04026003061	Other	-	FIDELIS
1693149	Other	-	INDEPENDENT HEALTH
4195929	Other	-	GHI
000911558015	Other	-	BLUE SHIELD WNY
1818343B	Other	NY	WORKERS COMPENSATION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kenneth Pearsen?

The National Provider Identifier (NPI) for Kenneth Pearsen is 1154387918, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kenneth Pearsen practice?

The practice location on file with NPPES is in Williamsville, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-21.