Active NPI
Erik J. Kilgore, M.D.
- Diagnostic Radiology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00036108
- Practice address
- 4816A NE Thurston Way
Vancouver, WA 98662 - Phone
- (360) 254-4914
- Fax
- (360) 449-4961
- NPI assigned
- Jun 8, 2005
- 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 | MD00036108 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD21181 | OR |
Addresses
Primary practice location
4816A NE Thurston Way
Vancouver, WA 98662
Mailing address
4201 NE 66TH Ave.
Suite 104
Vancouver, WA 98661
Phone (360) 254-4914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8259772 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Vanderbilt University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-2161
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
- Peacehealth Southwest Medical Cente
- Peacehealth St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21181 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Washington Health Services Association | Current | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients | |
| Advanced Medical Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
505 NE 87th Ave
Ste LL50
Vancouver, WA 98664
Phone (360) 254-1914
3250 SE 164th Ave
Ste 108
Vancouver, WA 98683
Phone (360) 254-4914
4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Organizations & group practices 11
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
- Lynnwood, WA
- NPI 1932196607
-
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1154942886
-
- Diagnostic Radiology Physician
- Vancouver, WA
- NPI 1114008737
-
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1447254404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 NE 66TH AVE.",
"address_2": "SUITE 104",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-254-4914",
"fax_number": "360-449-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816A NE THURSTON WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-254-4914",
"fax_number": "360-449-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "ERIK",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00036108",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD21181",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8259772",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.