NPIMap

Individual provider Active NPI

Kaerli Main Christensen

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1093071045
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8771478-1205 Issued in UT
Practice address
30 North 1900 East, Room 4C104
University of Utah Department of Internal Medicine
Salt Lake City, UT 84132
Phone
(801) 581-7606
NPI assigned
Apr 4, 2012
Last updated
Apr 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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 8771478-1205 UT Primary

Addresses

Primary practice location

30 North 1900 East, Room 4C104
University of Utah Department of Internal Medicine
Salt Lake City, UT 84132

Mailing address

127 S 500 E
Ste 600
Salt Lake City, UT 84102-1971
Phone (801) 587-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OR, WA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170616002448 UT Practitioner - Radiation Oncology 4385876192 Reassigns benefits to 1 organization
I20180620002746 OR Practitioner - Diagnostic Radiology 4385876192 Reassigns benefits to 1 organization
I20180627001695 WA Practitioner - Diagnostic Radiology 4385876192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
97.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Apr 19, 2022 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Apr 19, 2022 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Apr 21, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Apr 21, 2017 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 8

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 9

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1093071045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 500 E",
            "address_2": "STE 600",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021971",
            "telephone_number": "801-587-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTH 1900 EAST, ROOM 4C104",
            "address_2": "UNIVERSITY OF UTAH DEPARTMENT OF INTERNAL MEDICINE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-581-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KAERLI",
        "middle_name": "MAIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "8771478-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.