NPIMap

Individual provider Active NPI

Kale D Bodily, MD

  • Diagnostic Radiology Physician
  • Kingman, AZ
National Provider Identifier
1174531933
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48846 Issued in MN
Practice address
1608 N Stockton Hill Rd
Suite 104
Kingman, AZ 86401-4141
Phone
(928) 718-0180
NPI assigned
Aug 4, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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 48846 MN Primary

Addresses

Primary practice location

1608 N Stockton Hill Rd
Suite 104
Kingman, AZ 86401-4141

Mailing address

1608 N Stockton Hill Rd
Suite 104
Kingman, AZ 86401-4141
Phone (928) 718-0180

Other identifiers 1

IdentifierTypeStateIssuer
066608000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100819001255 AZ Practitioner - Diagnostic Radiology 6103820261 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mayo Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

1608 N Stockton Hill Rd
Suite 104
Kingman, AZ 86401-4142
Phone (928) 718-0180

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Sep 15, 2022 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Aug 15, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince Sep 15, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2010 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2010 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

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

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

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Interoperability endpoints

  • Direct secure messaging: bodily.kale@direct.azkrmc.md

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kingman Regional Medical CenterKingman, AZ, CCN 030055 Hospital Corporate Director Oct 25, 2012
Kingman Regional Medical CenterKingman, AZ, CCN 03T055 Hospital Corporate Director Oct 25, 2012
Kingman Regional Medical Center Home HealthKingman, AZ, CCN 037050 Home health agency Corporate Director Oct 25, 2012
Kingman Regional Medical Center HospiceKingman, AZ, CCN 031552 Hospice Corporate Director Oct 25, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1174531933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 N STOCKTON HILL RD",
            "address_2": "SUITE 104",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014141",
            "telephone_number": "928-718-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N STOCKTON HILL RD",
            "address_2": "SUITE 104",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014141",
            "telephone_number": "928-718-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODILY",
        "first_name": "KALE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "48846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066608000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.