Individual provider Active NPI

Erik J. Kilgore, M.D.

  • Diagnostic Radiology Physician
  • Vancouver, WA
National Provider Identifier
1447254404
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00036108 Issued in WA
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

Updated by the provider on Sep 3, 2014

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 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

IdentifierTypeStateIssuer
8259772MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000019 WA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2264427319 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Vanderbilt University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

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 Hospital, Vancouver, WA, CCN 500150
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21181ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Health Services Association Current Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Central Washington Health Services Association CurrentSince Jun 1, 2022 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jun 1, 2020 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.