Daniel Kirkham, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · La Grande, OR
NPI 1821010752 · NPPES record last updated Feb 27, 2017
Key facts
- NPI
- 1821010752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD28311 (OR)
- Practice address
- 900 Sunset Dr
Radiology
La Grande, OR 97850-1362 - Phone
- (541) 963-8421
- Fax
- (541) 963-1476
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Tahoe Carson Radiology Loos Et Al LTD
Northern Inyo Healthcare District
High Desert Imaging LLC
Practice addresses (Care Compare)
150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-2136
2110 Idaho St
Elko, NV 89801-2625
Phone (775) 621-5800
2874 N Carson St
Suite 300
Carson City, NV 89706-1683
Phone (775) 888-1180
Hospital & facility affiliations
- Carson Tahoe Regional Medical Center
- Northeastern Nevada Regional Hospital
- Humboldt General Hospital
- Black Hills Surgical Hospital LLC
- Northern Inyo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230206002712 | CA | Practitioner - Diagnostic Radiology | 3476648262 | Reassigns benefits to 3 organizations |
| I20230420002334 | NV | Practitioner - Diagnostic Radiology | 3476648262 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23765 | NE | MD | Diagnostic Radiology Physician |
| MD28311 | OR | MD | Diagnostic Radiology Physician |
| 6160668-1205 | UT | MD | Diagnostic Radiology Physician |
| 0101241650 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Carson Radiology Loos Et Al LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Northern Inyo Healthcare District | Current |
Accepting new patients | |
| High Desert Imaging LLC | Current |
Accepting new patients | |
| Northern Inyo Healthcare District | Current |
Accepting new patients | |
| Great Basin Imaging | Diagnostic Radiology | Past | Accepting new patients |
| MCV Associated Physicians | Diagnostic Radiology | Past |
Accepting new patients |
Locations
150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
535 S Humboldt St
Ste A
Battle Mtn, NV 89820
Phone (775) 635-2424
2874 N Carson St
Ste 300
Carson City, NV 89706
Phone (775) 445-5500
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632
1400 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3651
2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800
2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100
976 Mountain City Hwy
Elko, NV 89801
Phone (775) 777-7586
213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 6160668-1205 | UT | |
| Diagnostic Radiology Physician | 2085R0202X | 23765 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 0101241650 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | MD28311 | OR | Yes |
Addresses
Primary practice location
900 Sunset Dr
Radiology
La Grande, OR 97850-1362
Mailing address
PO Box 18858
Reno, NV 89511-0188
Phone (775) 283-3315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242335 | Medicaid | OR |
Other providers in La Grande, OR
- Kim R. Montee, M.D., P.C.
- Samuel Heber Kimball
- Kindred Counseling Incorporated
- Kimberly Dayon Kinkito
- Kenton Dell Kirby
- Kade Kirschner
- Jacqui Kleeman
- Sheridan D Klinger
- Dawn C Knight
- Kimberlee Knight
All providers in La Grande, OR · Diagnostic Radiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.