Active NPI
Scott Kristenson, M.D
- Diagnostic Radiology Physician
- Fort Sam Houston, TX
National Provider Identifier
1285171405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2020004310
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (102) 916-4141
- NPI assigned
- Jan 25, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2020004310 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD61318617 | WA |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-4141
Other practice location 1
Wilford Hall Loop
Bldg 4554
JBSA Lackland, TX 78236
Phone (210) 292-6255
Other practice location 2
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, 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
- Diagnostic Radiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Bogad St
Apt a
Saint Robert, MO 65584-4945
Phone (253) 841-4353
20327 Knights Banner
San Antonio, TX 78258-3322
Phone (253) 761-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Illinois Diagnostic and Interventional Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Sol Radiology, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Radpod FL PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 7
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
- Chicago, IL
- NPI 1114723608
TX
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
MO, TX
-
- Diagnostic Radiology Physician
- Port St Lucie, FL
- NPI 1730075672
-
- Diagnostic Radiology Physician
- Victorville, CA
- NPI 1457928111
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1285171405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "102-916-4141"
}
],
"practiceLocations": [
{
"address_1": "Wilford Hall Loop",
"address_2": "Bldg 4554",
"address_purpose": "LOCATION",
"city": "JBSA Lackland",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-6255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021900",
"country_code": "US",
"telephone_number": "253-761-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISTENSON",
"first_name": "SCOTT",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2025-05-22",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2020004310",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61318617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.