Active NPI
Kelly J Ivester, M.D.
- Diagnostic Radiology Physician
- New Orleans, LA
National Provider Identifier
1740263052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200101
- Practice address
- 1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600 - Phone
- (504) 988-5800
- Fax
- (504) 988-7616
- NPI assigned
- Nov 22, 2005
- 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 | 200101 | LA | Primary |
Addresses
Primary practice location
1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600
Mailing address
1415 Tulane Ave
HC 71
New Orleans, LA 70112-2600
Phone (504) 988-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1628085 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Mercer University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 College Ave
Suite C143
Manhattan, KS 66502-2751
Phone (785) 539-7641
Hospital & facility affiliations
- Ascension Via Christi Hospital Manhattan, Inc
- Community Memorial Healthcare, Inc.
- Community Hospital, Onaga and St Marys Campus
- Morris County Hospital
- Wamego Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Radiology, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Ascension Via Christi Imaging Manhattan, LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients |
Locations
1133 College Ave
Ste C143
Manhattan, KS 66502
Phone (785) 537-4940
1133 College Ave
Ste A104
Manhattan, KS 66502
Interoperability endpoints
- kivester99815@stormontvaildirect.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ascension Via Christi Hospital Manhattan Inc | Hospital | Corporate Director | May 16, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
Corporate Director
Organizations & group practices 3
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
- Manhattan, KS
- NPI 1669577235
-
- Radiology Clinic/Center
- Manhattan, KS
- NPI 1669471710
-
- Specialist
- New Orleans, LA
- NPI 1528014164
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhattan, KS
- NPI 1760482517
-
- Critical Access Hospital
- Onaga, KS
- NPI 1457351389
-
- Critical Access Hospital
- Marysville, KS
- NPI 1902872997
-
- Critical Access Hospital
- Council Grove, KS
- NPI 1750314720
-
- Critical Access Hospital
- Wamego, KS
- NPI 1588657928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1740263052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC 71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800",
"fax_number": "504-988-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC 71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800",
"fax_number": "504-988-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVESTER",
"first_name": "KELLY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "200101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1628085",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.