NPIMap

Individual provider Active NPI

Kaelin Colleen Merveldt, M.D.

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1104088517
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
29625 Issued in OK
Practice address
13901 McAuley Blvd
Suite 100
Oklahoma City, OK 73134-8700
Phone
(405) 748-5800
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.055161 IL
Nephrology Physician 207RN0300X 29625 OK Primary

Addresses

Primary practice location

13901 McAuley Blvd
Suite 100
Oklahoma City, OK 73134-8700

Mailing address

13901 McAuley Blvd
Suite 100
Oklahoma City, OK 73134-8700
Phone (405) 748-5800

Other names 1

  • Dr. Kaelin Colleen Volpini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000254 OK Practitioner - NephrologyPractitioner - Internal Medicine 3870733835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Kidney Care PCGroup PAC ID 0648370775, 4 clinicians

Practice addresses (Care Compare)

13901 McAuley Blvd
Suite 303
Oklahoma City, OK 73134-8704
Phone (405) 748-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as individual
Quality
76.94
Promoting interoperability
100
Improvement activities
40
Cost
65.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.055161ILMDInternal Medicine Physician
29625OKMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Kidney Care PC Nephrology CurrentSince Jul 1, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4140 W Memorial Rd
Ste 518
Oklahoma City, OK 73120
Phone (405) 749-4212

13901 McAuley Blvd
Ste 100
Oklahoma City, OK 73134
Phone (405) 748-5800

13901 McAuley Blvd
Ste 303
Oklahoma City, OK 73134
Phone (405) 748-5800

Interoperability endpoints

  • Direct secure messaging: kmerveldt26453@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1104088517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVELDT",
        "first_name": "KAELIN",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.055161",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "29625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAELIN",
            "last_name": "VOLPINI",
            "middle_name": "COLLEEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.