Individual provider Active NPI

Kirk John Giesbrandt, MD

  • Vascular & Interventional Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1801039037
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD2015-0066 Issued in NM
Practice address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone
(505) 298-0301
NPI assigned
Apr 17, 2009
Last updated
Jun 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME107696 FL
Diagnostic Radiology Physician 2085R0202X MD2015-0066 NM
Vascular & Interventional Radiology Physician 2085R0204X MD2015-0066 NM Primary

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Mailing address

PO Box 4934
Albuquerque, NM 87196-4934
Phone (505) 298-0301

Other identifiers 1

IdentifierTypeStateIssuer
87577780MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 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
I20150401001192 NM Practitioner - Diagnostic Radiology 4486891777 Reassigns benefits to 4 organizations
I20240213003538 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4486891777 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Practice addresses (Care Compare)

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

2450 S Telshor Blvd
Memorial Medical Center
Las Cruces, NM 88011-5141
Phone (505) 225-8476

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2015-0066NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 23, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 23, 2024 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince May 1, 2018 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 25, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 23, 2024 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 5, 2024 Accepting new patients
Zia Diagnostic Imaging Diagnostic Radiology CurrentSince May 15, 2015 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 25, 2024 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 5, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 7, 2024 Accepting new patients
Banner Imaging Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Apr 23, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

13640 N Plaza del Rio Blvd
Ste 105
Peoria, AZ 85381

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

Interoperability endpoints

  • Direct secure messaging: kgiesbrandt8228@ahs.direct-ci.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 7

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1801039037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4934",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871964934",
            "telephone_number": "505-298-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-298-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESBRANDT",
        "first_name": "KIRK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME107696",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2015-0066",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2015-0066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87577780",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.