Active NPI
Louis E. Kleager, M.D.
- Otolaryngology Physician
- Ketchikan, AK
National Provider Identifier
1770645350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 5251
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31763 | Other | NE | BCBSNE PPO |
| 6520210 | Medicaid | SD | |
| 10025334000 | Medicaid | NE | |
| 31763 | Other | NE | BCBS NON PPO # |
| 5251 | Other | AK | MEDICAL LICENSE # |
| 91174982300 | Medicaid | NE | |
| 91174982301 | Medicaid | NE | |
| MD5055 | Medicaid | AK | |
| 13222 | Other | NE | STATE MEDICAL LICENSE # |
| 8556 | Other | NE | MIDLANDS 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
| Organization | Specialty | Status | New 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.
-
- Otolaryngology Physician
- Ketchikan, AK
- NPI 1861661670
-
- Primary Care Clinic/Center
- Ketchikan, AK
- NPI 1417031618
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
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.