Carl W Fieser, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

04-16118 Issued in KS

Practice address

2004 1St Ave
Ste a
Dodge City, KS 67801-2623

Phone

(620) 225-1033

Fax

(620) 227-8491

NPI assigned

May 18, 2006

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CA, WA2 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 2

Specialty

Diagnostic Radiology

Education

University of Kansas School of Med (KC/Wich/Sal), 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Medical Center Hospital, Olympia, WA, CCN 500139
• Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
• Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119
• San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689
• El Camino Health Hospital, Mountain View, CA, CCN 050308

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.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Silicon Valley Diagnostic Imaging, Inc.

  • Radiology Clinic/Center
  • Mountain View, CA
  • NPI 1629265806

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169
  Medicare reassignment Care Compare group
• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761

  CA

  Medicare reassignment NPD
• Clarksville Imaging Center LLC

  dba Clarksville Imaging Center

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1043285539

  CA

  Medicare reassignment NPD
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289

  CA

  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment
• County of San Joaquin

  dba San Joaquin General Hospital

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583
  Medicare reassignment
• Lodi Memorial Hospital Association, Inc

  dba Lodi Memorial Community Clinic - Iris

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment
• San Joaquin Faculty Medical Group

  • Internal Medicine Physician
  • French Camp, CA
  • NPI 1225063761
  Medicare reassignment
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Pleasanton Diagnostic Imaging, Inc.

  • Diagnostic Radiology Physician
  • San Ramon, CA
  • NPI 1922743657
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1457594087
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Deaconess Hospital

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1356528269
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Valley Hospital

  • General Acute Care Hospital
  • Spokane Valley, WA
  • NPI 1538345251
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Capital Medical Center

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1841258639
  Care Compare affiliation
• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1316990849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 1ST AVE",
            "address_2": "STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-225-1033",
            "fax_number": "620-227-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 1ST AVE",
            "address_2": "STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-225-1033",
            "fax_number": "620-227-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESER",
        "first_name": "CARL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-16118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91161182",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA1172003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200487030A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6750056",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COLORADO",
            "identifier": "CO40688",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA1173003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204750B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Clinic of Western Kansas, LLC
• Family Practice Associates of Western Kansas, LLC (Family Practice Associates)
• Dustin Fergerson
• Trista Fergerson, AUTISM SPECIALIST
• Cindy Kay Fiegenbaum, CPTA
• First Avenue Dental, P.a. (First Dental)
• Fischer Chiropractic PA
• Scott D Fischer, DC
• Sara Nicole Flickinger, D.C.
• Sean D Krylie Flickinger, D.C.

• Diagnostic Radiology Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.