Individual provider Active NPI

Christopher A Porter IV, MD

  • Vascular & Interventional Radiology Physician
  • Kingman, AZ
National Provider Identifier
1063611945
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
45833 Issued in AZ
Practice address
1608 N Stockton Hill Rd
Kingman, AZ 86401-4141
Phone
(928) 718-0180
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 50103 MN
Vascular & Interventional Radiology Physician 2085R0204X 45833 AZ Primary

Addresses

Primary practice location

1608 N Stockton Hill Rd
Kingman, AZ 86401-4141

Mailing address

3269 Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Other identifiers 4

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
784613000MedicaidMN
ENROLLEDMedicaidWI
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120809000734 AZ Practitioner - Interventional Radiology 3577654615 Reassigns benefits to 2 organizations
I20260515000376 CO Practitioner - Diagnostic Radiology 3577654615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

The Woodlands, TX 77384
Phone (281) 742-0469

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7000

17200 St Lukes Way
CHI St Luke'S the Woodlands Hospital
The Woodlands, TX 77384-8007
Phone (713) 526-5771

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Family Medicine CurrentSince Nov 7, 2018 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Nov 7, 2018 Accepting new patients

Locations

2002 N Stockton Hill Rd
Ste 103
Kingman, AZ 86401
Phone (602) 526-0848

1033 Sycamore Ave
Kingman, AZ 86409
Phone (928) 681-8600

1608 N Stockton Hill Rd
Ste 104
Kingman, AZ 86401
Phone (928) 718-0180

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1608 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 377-1984

1720 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

Interoperability endpoints

  • Direct secure messaging: porter.christopher@direct.azkrmc.md

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1063611945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014141",
            "telephone_number": "928-718-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "50103",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "45833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784613000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.