Individual provider Active NPI

Kristen Rae Grubb, MD

  • Diagnostic Radiology Physician
  • Westlake, OH
National Provider Identifier
1174581839
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
044122 Issued in CT
Practice address
24493 Cornerstone
Westlake, OH 44145-4125
Phone
(855) 687-7237
Fax
(855) 673-9190
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 044122 CT Primary

Addresses

Primary practice location

24493 Cornerstone
Westlake, OH 44145-4125

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (855) 687-7237

Other names 1

  • Dr. Kristen Rae Haught Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20180918003108 CO Practitioner - Diagnostic Radiology 2163415225 Reassigns benefits to 12 organizations
I20230425002604 AZ Practitioner - Diagnostic Radiology 2163415225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

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

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

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Exceptional Community Hospital Yuma Hospital, Yuma, AZ, CCN 030154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044122CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Radiology and Imaging Medical Group Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 15, 2023 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Wayne Radiologists, P.a. CurrentSince Dec 1, 2020 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 15, 2023 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Yuma Regional Medical Center CurrentSince Apr 17, 2023 Accepting new patients
Benefis Hospitals Inc CurrentSince Sep 11, 2021 Accepting new patients
Yuma Regional Medical Center CurrentSince Apr 17, 2023 Accepting new patients
St Luke'S Clinic LLC CurrentSince Aug 1, 2021 Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology Past Accepting new patients
Toll Gate Radiology II, LLC Diagnostic Radiology PastSince Dec 1, 2010 Accepting new patients
Toll Gate Radiology Inc Diagnostic Radiology Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Central Pennsylvania MRI Center Diagnostic Radiology Past Accepting new patients

Locations

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

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

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

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

2326 18th St
Columbus, IN 47201
Phone (812) 343-5781

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1174581839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "855-687-7237",
            "fax_number": "855-687-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24493 CORNERSTONE",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454125",
            "telephone_number": "855-687-7237",
            "fax_number": "855-673-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "KRISTEN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "044122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HAUGHT",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.