Active NPI
Ketsia Pierre, MD
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301510349
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523775 | Medicaid | TN | |
| 7100258870 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Spectrum Health
- Bronson Methodist Hospital
- Mymichigan Medical Center Midland
- Lakeland Hospital, St Joseph
- Bronson Battle Creek Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 91.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251155 | MA | MD | Diagnostic Radiology Physician |
| MD0000041532 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Clinic | Diagnostic Radiology | Past | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Nashville, TN
- NPI 1649256942
Diagnostic Radiology
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.