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



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

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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

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Entity NameKalispell Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235333139
PECOS PAC ID: 5294644381
Enrollment ID: O20031122000142

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Entity NameNorthwest Imaging, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386713832
PECOS PAC ID: 8426969155
Enrollment ID: O20040309000627

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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

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› Verified 7 days ago


Radiology Doctors in Albuquerque, NM

Mark Ehrhart, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-4661    
Dr. Shaya Ansari, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110
Phone: 505-998-3096    Fax: 505-998-3100
Dr. Karen Renee Craig, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106
Phone: 505-272-0011    
Erika Jane Starks, MD, PHD
Radiology
Medicare: Medicare Enrolled
Practice Location: Radiology Msc 10-5530 1 University Of New Mexico, Albuquerque, NM 87131
Phone: 505-272-6225    
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

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