Individual provider Active NPI

Kent R Hootman, M.D.

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1194707943
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2009-0550 Issued in NM
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

Updated by the provider on Feb 16, 2023

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 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

IdentifierTypeStateIssuer
49151762MedicaidNM
10025709000MedicaidNE
34336371MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000380 NM Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8123125614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C CurrentSince Oct 17, 2022 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.

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.

Verify at the official NPI Registry.