Active NPI
Kellen John Stolze, DO
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO2025-0069
- Practice address
- 8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640 - Phone
- (505) 559-5629
- Fax
- (505) 998-3100
- NPI assigned
- Apr 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DO2025-0069 | NM | Primary |
Addresses
Primary practice location
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Mailing address
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone (505) 559-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250701000989 | NM | Practitioner - Diagnostic Radiology | 2769715614 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unm Medical Group IncOtero County Hospital AssociationX-Ray Associates of New Mexico PC
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
8020 Constitution PL NE
Suite 101
Albuquerque, NM 87110-7638
Phone (505) 998-1317
Hospital & facility affiliations
- Los Alamos Medical Center
- Christus Southern New Mexico
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2025-0069 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Associates of New Mexico PC | Diagnostic Radiology | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| New Mexico Oncology Hematology Consultants, LTD. | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Cibola General Hospital Corporation | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Alamogordo Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
8020 Constitution Pl NE
Ste 202
Albuquerque, NM 87110
Phone (505) 559-5628
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Organizations & group practices 9
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
- Albuquerque, NM
- NPI 1235105800
Diagnostic Radiology, NM
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
NM
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1770879694
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Diagnostic Radiology Physician
- Alamogordo, NM
- NPI 1700852373
Diagnostic Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1710440243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 CONSTITUTION PL NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107640",
"telephone_number": "505-559-5629",
"fax_number": "505-998-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 CONSTITUTION PL NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107640",
"telephone_number": "505-559-5629",
"fax_number": "505-998-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLZE",
"first_name": "KELLEN",
"middle_name": "JOHN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "DO2025-0069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.