Active NPI
Kent R Hootman, M.D.
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2009-0550
- Practice address
- 700 Lomas Blvd NE BLDG 1
Albuquerque, NM 87102-2560 - Phone
- (505) 332-6900
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD2009-0550 | NM | Primary |
Addresses
Primary practice location
700 Lomas Blvd NE BLDG 1
Albuquerque, NM 87102-2560
Mailing address
700 Lomas Blvd NE BLDG 1
Albuquerque, NM 87102-2560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49151762 | Medicaid | NM | |
| 10025709000 | Medicaid | NE | |
| 34336371 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.91 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan K Anderson D P M P C | Current | Accepting new patients | |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging of Nebraska, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ria Endovascular, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
700 Lomas Blvd NE
Bldg 1
Albuquerque, NM 87102
Phone (505) 843-6464
700 Lomas Blvd NE
Albuquerque, NM 87102
Phone (505) 242-1711
8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (206) 703-2204
1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766
105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313
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.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1679513196
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1184869901
-
- Diagnostic Radiology Physician
- Greenwood Village, CO
- NPI 1558301077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1194707943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LOMAS BLVD NE BLDG 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LOMAS BLVD NE BLDG 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022560",
"telephone_number": "505-332-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOTMAN",
"first_name": "KENT",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2009-0550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49151762",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34336371",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.