| Kelly Kieper, | |
|
2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | |
| (505) 272-3120 | |
| (505) 272-5821 |
| Full Name | Kelly Kieper |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 2211 Lomas Blvd Ne, Albuquerque, New Mexico |
| 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 |
|---|---|---|---|
| 1083888390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7469971-1205 (Utah) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD2014-0628 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kalispell Regional Medical Center | Kalispell, MT | Hospital |
| North Valley Hospital | Whitefish, MT | Hospital |
| St Luke Community Hospital | Ronan, MT | Hospital |
| Clark Fork Valley Hospital | Plains, MT | Hospital |
| Cabinet Peaks Medical Center | Libby, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Liberty County Hospital And Nursing Home Inc | 0042128480 | 18 |
| Northern Rockies Medical Center Inc | 0345234506 | 19 |
| Kalispell Regional Medical Center Inc | 5294644381 | 380 |
| St Lukes Community Hospital | 5496659567 | 54 |
| Northwest Imaging, Pc | 8426969155 | 20 |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
| Entity Name | Kalispell Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142 |
| Entity Name | Liberty County Hospital And Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003984097 PECOS PAC ID: 0042128480 Enrollment ID: O20040115000815 |
| Entity Name | Northwest Imaging, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386713832 PECOS PAC ID: 8426969155 Enrollment ID: O20040309000627 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20040510001072 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20210526001815 |
| Entity Name | Liberty County Hospital And Nursing Home Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497754782 PECOS PAC ID: 0042128480 Enrollment ID: O20220804002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Kieper, 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Kelly Kieper, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-3120 |
Mark Ehrhart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Danielle Eckart Sorte, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Dept Of Radiology Msc 10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 801-641-5515 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Glenn S. Roush, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4411 The 25 Way Ne, Albuquerque, NM 87109 Phone: 505-332-6921 Fax: 256-382-6455 |