Active NPI
William K Kvien, MD
- Emergency Medicine Physician
- Winslow, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15772
- Practice address
- 1501 N Williamson Ave
Emergency Department
Winslow, AZ 86047-2735 - Phone
- (928) 289-4691
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15772 | AZ | Primary |
Addresses
Primary practice location
1501 N Williamson Ave
Emergency Department
Winslow, AZ 86047-2735
Mailing address
2040 Easy St
Winslow, AZ 86047-2117
Phone (928) 289-0157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18478904 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Harvard Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 5 Miles N of Leupp Chapter House
Leupp Health Station
Leupp, AZ 86035
Phone (928) 289-4646
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691
Hospital & facility affiliations
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15772 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dilkon Medical Center | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
500 Indiana Ave
Winslow, AZ 86047
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
826 W Desmond St
Winslow, AZ 86047
Phone (928) 289-4678
1500 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-3396
Organizations & group practices 6
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.
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
-
- Federal Public Health Clinic/Center
- Leupp, AZ
- NPI 1760652580
-
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1144270315
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235148784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 EASY ST",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472117",
"telephone_number": "928-289-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N WILLIAMSON AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472735",
"telephone_number": "928-289-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVIEN",
"first_name": "WILLIAM",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "15772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18478904",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.