| Kelly R Lindauer, MD | |
|
23004 Whispering Woods, Golden, CO 80401-8038 | |
| (415) 884-3418 | |
| (415) 883-0877 |
| Full Name | Kelly R Lindauer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 23004 Whispering Woods, Golden, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417041153 | NPI | - | NPPES |
| 90473825 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A98371 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 44710 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Nebraska Orthopaedic Hospital | Omaha, NE | Hospital |
| Novato Community Hospital | Novato, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Pacific Advanced Imaging | 0143258764 | 2 |
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| New Century Imaging Llc | 4082517370 | 61 |
| Prima Medical Foundation | 6406040138 | 29 |
| New Century Imaging Llc | 4082517370 | 61 |
| Monterey Spine And Joint Pc | 0840295721 | 65 |
| California Pacific Advanced Imaging | 0143258764 | 2 |
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| Prima Medical Foundation | 6406040138 | 29 |
| Proliance Surgeons Inc P S | 8527972900 | 355 |
| Entity Name | Vail Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992812333 PECOS PAC ID: 3577475714 Enrollment ID: O20031105000224 |
| Entity Name | Colorado Permanente Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Entity Name | California Advanced Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646909 PECOS PAC ID: 0244144228 Enrollment ID: O20160721002442 |
| Entity Name | New Century Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710909262 PECOS PAC ID: 4082517370 Enrollment ID: O20180806001140 |
| Entity Name | Prima Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20210914000701 |
| Entity Name | Basha Diagnostics P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20230201000014 |
| Entity Name | California Pacific Advanced Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912950676 PECOS PAC ID: 0143258764 Enrollment ID: O20240729002663 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly R Lindauer, MD Po Box 80391, City Of Industry, CA 91716-8391 Ph: (415) 884-3415 | Kelly R Lindauer, MD 23004 Whispering Woods, Golden, CO 80401-8038 Ph: (415) 884-3418 |