Individual provider Active NPI

Karen S Koolpe, MD

  • Diagnostic Radiology Physician
  • Santa Fe, NM
National Provider Identifier
1003836214
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2006-0152 Issued in NM
Practice address
1640 Hospital Dr
Santa Fe, NM 87505-4754
Phone
(505) 983-9350
Fax
(505) 955-8763
NPI assigned
Jul 20, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2006-0152 NM Primary

Addresses

Primary practice location

1640 Hospital Dr
Santa Fe, NM 87505-4754

Mailing address

1640 Hospital Dr
Santa Fe, NM 87505-4754
Phone (505) 983-9350

Other identifiers 1

IdentifierTypeStateIssuer
49733826MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060809000130 NM Practitioner - Diagnostic Radiology 0143287771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Imaging, LLCGroup PAC ID 7012099161, 11 clinicians
Santa Fe Radiology P.C.Group PAC ID 9830139898, 10 clinicians

Practice addresses (Care Compare)

1640 Hospital Dr
Santa Fe, NM 87505-4754
Phone (505) 983-9350

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 983-9350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.53 of 100Reported as group
Quality
69.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2006-0152NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Imaging LLC CurrentSince Jul 8, 2008 Accepting new patients
Santa Fe Radiology PC Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients

Locations

1460 Trinity Dr
Ste B
Los Alamos, NM 87544

999 Central Ave
Los Alamos, NM 87544

1640 Hospital Dr
Santa Fe, NM 87505
Phone (505) 983-2611

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

Interoperability endpoints

  • Direct secure messaging: kkoolpe165514@christushealth.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1003836214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-9350",
            "fax_number": "505-955-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-9350",
            "fax_number": "505-955-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOLPE",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2006-0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49733826",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.