Individual provider Active NPI

Ketsia Pierre, MD

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1639226582
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301510349 Issued in MI
Practice address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone
(616) 363-7272
Fax
(616) 361-5828
NPI assigned
Jan 4, 2007
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 251155 MA
Diagnostic Radiology Physician 2085R0202X MD0000041532 TN
Diagnostic Radiology Physician 2085R0202X 4301510349 MI Primary

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272

Other identifiers 2

IdentifierTypeStateIssuer
1523775MedicaidTN
7100258870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110603000599 TN Practitioner - Diagnostic Radiology 3072790807 Reassigns benefits to 2 organizations
I20141203002038 KY Practitioner - Diagnostic Radiology 3072790807 Reassigns benefits to 1 organization
I20230922002641 MI Practitioner - Diagnostic Radiology 3072790807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology Services PCGroup PAC ID 4284546516, 252 clinicians

Practice addresses (Care Compare)

116 Postwood PL
Nashville, TN 37205-1604
Phone (616) 363-7272

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
91.34
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251155MAMDDiagnostic Radiology Physician
MD0000041532TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology Services PC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Sanford Clinic Diagnostic Radiology PastSince Mar 1, 2021 Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients

Locations (25 of 45)

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 495-7730

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1483 Nashville Pike
Ste 302
Gallatin, TN 37066
Phone (615) 230-8601

304 Northcreek Blvd
Goodlettsville, TN 37072
Phone (615) 859-8488

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 822-2214

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

3901 Central Pike
Ste 154
Hermitage, TN 37076

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

Interoperability endpoints

  • Direct secure messaging: kpierre1144605@direct.hfhs.org

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 8

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1639226582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272",
            "fax_number": "616-361-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "KETSIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "251155",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000041532",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301510349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523775",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100258870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.