John F Kludt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0504 Issued in ND

Practice address

1000 Highway 12
Hettinger, ND 58639

Phone

(701) 567-6133

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West River Health ServicesGroup PAC ID 0042127045, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West River Regional Medical Center Hospital, Hettinger, ND, CCN 351330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnkludt@wrhs.allscriptsdirect.net

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.

• West River Health Services

  dba Hettinger Clinic

  • Critical Access Hospital Clinic/Center
  • Hettinger, ND
  • NPI 1174606271
  Medicare reassignment Care Compare group NPD
• West River Health Services

  dba West River Eye Center

  • Optometrist
  • Hettinger, ND
  • NPI 1588784870
  NPD
• West River Health Services

  dba West River Regional Medical Center

  • Physical Therapy Clinic/Center
  • Mott, ND
  • NPI 1902526411
  NPD
• West River Health Services

  dba Bowman Clinic

  • Rural Health Clinic/Center
  • Bowman, ND
  • NPI 1497856025
  NPD (past)

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

• West River Health Services

  dba West River Ambulance

  • Land Ambulance
  • Hettinger, ND
  • NPI 1518089499

  Hospital

  Care Compare affiliation
• West River Health Services

  dba West River Regional Medical Center

  • Critical Access Hospital
  • Hettinger, ND
  • NPI 1588763247
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053404756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397533",
            "telephone_number": "701-567-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "58639",
            "telephone_number": "701-567-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUDT",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "0504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen L Ketterling, MD
• Steven C Kilwein, DPM
• Jacqueline Kling, LSW
• Lesley D Kling, FNP
• Isaiah Kludt
• Mark S Kristy, MD
• Lantis Enterprises, Inc (Hillcrest Care Center)
• Charlotte Lee
• Paula C Lewis
• Jodi Lindquist, LSW

• Optometrist in Hettinger, ND
• Providers in Hettinger, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.