Individual provider Active NPI

Kolan Wright, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1467403451
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME92784 Issued in FL
Practice address
2132A Central Ave SE # 284
Albuquerque, NM 87106-4004
Phone
(505) 450-5042
NPI assigned
May 13, 2006
Last updated
May 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME92784 FL Primary

Addresses

Primary practice location

2132A Central Ave SE # 284
Albuquerque, NM 87106-4004

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20101124001017 KY Practitioner - Family PracticePractitioner - Emergency Medicine 8224029392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle Emergency Group, LLCGroup PAC ID 3971923814, 15 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (606) 256-2195

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-3110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43600KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1467403451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132A CENTRAL AVE SE # 284",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064004",
            "telephone_number": "505-450-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KOLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME92784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.