Individual provider Active NPI

Kellen John Stolze, DO

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1710440243
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO2025-0069 Issued in NM
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

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc 1,052 clinicians
Otero County Hospital Association 245 clinicians
X-Ray Associates of New Mexico PC 53 clinicians

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 Hospital, Los Alamos, NM, CCN 320033
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2025-0069NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2026 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Jan 22, 2026 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Unm Medical Group Inc CurrentSince Jun 23, 2025 Accepting new patients
Cibola General Hospital Corporation CurrentSince Jan 12, 2026 Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2026 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.

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": "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

Verify at the official NPI Registry.