Active NPI
Sterling Kellon Hansen, M.D.
- Diagnostic Radiology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 46725
- Practice address
- 1501 N Campbell Ave
Tucson, AZ 85724-0001 - Phone
- (520) 626-1069
- NPI assigned
- Jun 27, 2011
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 46725 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave
Tucson, AZ 85724-0001
Mailing address
2445 E 2860 S
St George, UT 84790-4707
Phone (520) 626-1069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R72482 | Other | AZ | TRAINING PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, UT, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Utah School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2445 E 2860
St George, UT 84790-4707
Phone (614) 340-7740
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000
Hospital & facility affiliations
- Riverside Methodist Hospital
- Genesis Hospital
- Ohiohealth Mansfield Hospital
- Marion General Hospital
- Doctors Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46725 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Carelife Imaging, LLC | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
100 E Campus View Blvd
Ste 160
Columbus, OH 43235
Phone (614) 396-4750
Organizations & group practices 3
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
- Columbus, OH
- NPI 1093718496
UT
-
- Radiology Clinic/Center
- Zanesville, OH
- NPI 1801334800
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Marion, OH
- NPI 1215935366
-
- General Acute Care Hospital
- Mansfield, OH
- NPI 1790837235
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1972535052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1326334541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 E 2860 S",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904707",
"telephone_number": "520-626-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857240001",
"telephone_number": "520-626-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "STERLING",
"middle_name": "KELLON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "46725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R72482",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.