Individual provider Active NPI

Nathan L Kester, MD

  • Diagnostic Radiology Physician
  • Springfield, MO
National Provider Identifier
1770541013
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R1J52 Issued in MO
Practice address
3801 S National Ave Dept of
Springfield, MO 65807-5210
Phone
(417) 269-4056
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43089-020 WI
Diagnostic Radiology Physician 2085R0202X R1J52 MO Primary
Nuclear Radiology Physician 2085N0904X R1J52 MO
Diagnostic Radiology Physician 2085R0202X 22918 WA

Addresses

Primary practice location

3801 S National Ave Dept of
Springfield, MO 65807-5210

Mailing address

1530 E Bradford Pkwy
Springfield, MO 65804-6565
Phone (417) 877-0624

Other practice location 1

2828 N National Ave
Dept. of Radiology
Springfield, MO 65803-4306
Phone (417) 837-4240

Other practice location 2

1000 E Walnut Lawn St
Springfield, MO 65807-7313
Phone (417) 269-4056

Other practice location 3

3901 S Fremont Ave
Springfield, MO 65804-6538
Phone (417) 269-4056

Other identifiers 7

IdentifierTypeStateIssuer
3416014OtherCIGNA
P00003785OtherRR MEDICARE
P00894334OtherARRR MEDICARE
178031001MedicaidAR
203076369MedicaidMO
125353000OtherUS DEPT. OF LABOR
1770541013MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040304000176 MO Practitioner - Diagnostic Radiology 4981591880 Reassigns benefits to 1 organization
I20241008004436 TX Practitioner - Diagnostic Radiology 4981591880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

1001 E Primrose
Ferrell Duncan Clinic
Springfield, MO 65807-5155
Phone (417) 875-3000

2170 Longmont LN
Prosper, TX 75078-1993
Phone (417) 875-3000

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cox Monett Hospital Hospital, Monett, MO, CCN 261329

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1J52MOMDNuclear Radiology Physician
22918WAMDDiagnostic Radiology Physician
43089-020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Sep 12, 2018 Accepting new patients
Universal Radiology Services, LLC Diagnostic Radiology CurrentSince Dec 21, 2019 Accepting new patients
Portable Medical Diagnostics, Inc CurrentSince May 5, 2017 Accepting new patients
Kester Radiology, LLC Diagnostic Radiology PastSince Jan 1, 2004 Accepting new patients
Tri-Lakes Diagnostic Tech. Past Accepting new patients
Tri-Lakes Diagnostic Imaging, LLC Past Accepting new patients

Locations

610 N Ohio St
Appleton City, MO 64724
Phone (660) 476-2111

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

3901 S Fremont Ave
Springfield, MO 65804
Phone (417) 269-1182

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

205 Park Central E
Ste 516
Springfield, MO 65806
Phone (417) 233-2158

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

Organizations & group practices 6

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1770541013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046565",
            "telephone_number": "417-877-0624",
            "fax_number": "417-851-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE DEPT OF",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 N National Ave",
            "address_2": "Dept. of Radiology",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034306",
            "country_code": "US",
            "telephone_number": "417-837-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Walnut Lawn St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077313",
            "country_code": "US",
            "telephone_number": "417-269-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 S Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046538",
            "country_code": "US",
            "telephone_number": "417-269-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESTER",
        "first_name": "NATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "43089-020",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R1J52",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MO",
            "license": "R1J52",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "22918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3416014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00003785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00894334",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178031001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203076369",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "125353000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770541013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.