Individual provider Active NPI

Louis E. Kleager, M.D.

  • Otolaryngology Physician
  • Ketchikan, AK
National Provider Identifier
1770645350
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5251 Issued in AK
Practice address
212 Carlanna Lake Rd
Suite 201
Ketchikan, AK 99901-5613
Phone
(907) 228-7611
Fax
(907) 247-3306
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 5251 AK Primary

Addresses

Primary practice location

212 Carlanna Lake Rd
Suite 201
Ketchikan, AK 99901-5613

Mailing address

212 Carlanna Lake Rd
Suite 201
Ketchikan, AK 99901-5613
Phone (907) 228-7611

Other identifiers 10

IdentifierTypeStateIssuer
31763OtherNEBCBSNE PPO
6520210MedicaidSD
10025334000MedicaidNE
31763OtherNEBCBS NON PPO #
5251OtherAKMEDICAL LICENSE #
91174982300MedicaidNE
91174982301MedicaidNE
MD5055MedicaidAK
13222OtherNESTATE MEDICAL LICENSE #
8556OtherNEMIDLANDS CHOICE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louis E Kleager MD ENT PC Otolaryngology Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
First City Medicine LLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770645350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD",
            "address_2": "SUITE 201",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015613",
            "telephone_number": "907-228-7611",
            "fax_number": "907-247-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD",
            "address_2": "SUITE 201",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015613",
            "telephone_number": "907-228-7611",
            "fax_number": "907-247-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEAGER",
        "first_name": "LOUIS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AK",
            "license": "5251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE  PPO",
            "identifier": "31763",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6520210",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025334000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PPO #",
            "identifier": "31763",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "5251",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91174982300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91174982301",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5055",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE #",
            "identifier": "13222",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE GROUP",
            "identifier": "8556",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.