Kelly Kieper, - Medicare Diagnostic Radiology in Albuquerque, NM

Kelly Kieper, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Albuquerque, New Mexico. He went to Loma Linda University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kalispell Regional Medical Center Inc, Northwest Imaging, Pc, St Lukes Community Hospital and his current practice location is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-3120.

Kelly Kieper is licensed to practice in New Mexico (license number MD2014-0628) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083888390.

Contact Information

Kelly Kieper,
2211 Lomas Blvd Ne,
Albuquerque, NM 87106-2719
(505) 272-3120
(505) 272-5821

Map and Direction




Physician's Profile

Full NameKelly Kieper
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location2211 Lomas Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Kieper attended and graduated from Loma Linda University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1083888390
  • Provider Enumeration Date: 04/17/2008
  • Last Update Date: 03/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7618101015
  • Enrollment ID: I20151119001203

Medical Identifiers

Medical identifiers for Kelly Kieper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083888390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 7469971-1205 (Utah)Secondary
2085R0202XRadiology - Diagnostic Radiology MD2014-0628 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kalispell Regional Medical CenterKalispell, MTHospital
North Valley HospitalWhitefish, MTHospital
Cabinet Peaks Medical CenterLibby, MTHospital
Clark Fork Valley HospitalPlains, MTHospital
St Luke Community HospitalRonan, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kalispell Regional Medical Center Inc5294644381354
Northwest Imaging, Pc842696915520
St Lukes Community Hospital549665956758

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Kieper allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306911169
PECOS PAC ID: 5496659567
Enrollment ID: O20031121000276
Entity NameKalispell Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235333139
PECOS PAC ID: 5294644381
Enrollment ID: O20031122000142
Entity NameNorthwest Imaging, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386713832
PECOS PAC ID: 8426969155
Enrollment ID: O20040309000627

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Kieper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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