Ingrid Kjellin, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A50153 Issued in CA

Practice address

8 Cadillac Dr
Ste 200
Brentwood, TN 37027-5087

Phone

(615) 376-7360

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, CA, NY3 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 3

Specialty

Diagnostic Radiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1659340636
  Medicare reassignment Care Compare group
• Radiologists of Univ of Rochester

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1821030362
  Medicare reassignment NPD
• Universal Radiology Partners of California PC

  • Diagnostic Radiology Physician
  • Temecula, CA
  • NPI 1467225235
  Medicare reassignment NPD
• Crown Valley Radiologist

  dba Crown Valley Imaging

  • Radiology Clinic/Center
  • Mission Viejo, CA
  • NPI 1538566237
  NPD (past)
• Southern Bone & Joint Specialists, PA

  • Orthopaedic Surgery Physician
  • Hattiesburg, MS
  • NPI 1831110725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1316970742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N PETERS RD",
            "address_2": "STE 225",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222327",
            "telephone_number": "865-694-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-376-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLIN",
        "first_name": "INGRID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A50153",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "42987",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.093097",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01064511A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036122003",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2010-00424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Kirtley
• Aidan Kiser
• Edina Kishonthy, MFT
• Civerra Kittii
• Nathan Kittridge
• Ashley Welch Klekamp, APN
• Hannah Kliewer, APRN
• Matthew Evan Knake
• Julie Knapp
• Knight Family Chiropractic, PC

• Diagnostic Radiology Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.

Verify at the official NPI Registry.