Individual provider Active NPI

Kirsten Lee Gaarder, MD

  • Diagnostic Radiology Physician
  • Modesto, CA
National Provider Identifier
1437355765
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C55837 Issued in CA
Practice address
1524 McHenry Ave
Ste 100
Modesto, CA 95350-4500
Phone
(209) 342-5920
NPI assigned
Jun 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036130181 IL
Diagnostic Radiology Physician 2085R0202X C55837 CA Primary

Addresses

Primary practice location

1524 McHenry Ave
Ste 100
Modesto, CA 95350-4500

Mailing address

1524 McHenry Ave
Ste 100
Modesto, CA 95350-4500
Phone (209) 342-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000412 CA Practitioner - Diagnostic Radiology 0143471672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turlock Imaging Services, LLCGroup PAC ID 3678850922, 16 clinicians

Practice addresses (Care Compare)

3900 Geer Rd
Turlock, CA 95382-1147
Phone (209) 669-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036130181ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services Current Accepting new patients
Turlock Imaging Services, LLC CurrentSince Apr 1, 2017 Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Sep 15, 2015 Accepting new patients
North East Medical Services CurrentSince Sep 10, 2014 Accepting new patients
North East Medical Services CurrentSince Sep 10, 2014 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 4, 2015 Accepting new patients
The University of Chicago Medical Centers Past Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

1524 McHenry Ave
Ste 430
Modesto, CA 95350
Phone (301) 676-5825

609 E Orangeburg Ave
Modesto, CA 95350
Phone (209) 572-3224

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1524 McHenry Ave
Ste 420
Modesto, CA 95350
Phone (209) 522-2877

1524 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 571-6622

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

880 E Tuolumne Rd
Ste 202
Turlock, CA 95382
Phone (209) 664-5168

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

3900 Geer Rd
#1112
Turlock, CA 95382
Phone (209) 669-0600

3900 Geer Rd
Turlock, CA 95382
Phone (209) 669-0600

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1437355765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "209-342-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "209-342-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAARDER",
        "first_name": "KIRSTEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036130181",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C55837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.