Individual provider Active NPI

Daniel Kirkham, M.D.

  • Diagnostic Radiology Physician
  • La Grande, OR
National Provider Identifier
1821010752
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD28311 Issued in 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
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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 6160668-1205 UT
Diagnostic Radiology Physician 2085R0202X 23765 NE
Diagnostic Radiology Physician 2085R0202X 0101241650 VA
Diagnostic Radiology Physician 2085R0202X MD28311 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20230206002712 CA Practitioner - Diagnostic Radiology 3476648262 Reassigns benefits to 3 organizations
I20230420002334 NV Practitioner - Diagnostic Radiology 3476648262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LTDGroup PAC ID 6406832591, 34 clinicians
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians
High Desert Imaging LLCGroup PAC ID 2769781244, 12 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23765NEMDDiagnostic Radiology Physician
MD28311ORMDDiagnostic Radiology Physician
6160668-1205UTMDDiagnostic Radiology Physician
0101241650VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Imaging LLC CurrentSince Feb 1, 2023 Accepting new patients
Northern Inyo Healthcare District CurrentSince Jan 11, 2023 Accepting new patients
Tahoe Carson Radiology Loos Et Al LTD Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Northern Inyo Healthcare District CurrentSince Jan 11, 2023 Accepting new patients
Great Basin Imaging Diagnostic Radiology Past Accepting new patients
MCV Associated Physicians Diagnostic Radiology PastSince Sep 28, 2021 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

1400 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3651

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 300
Carson City, NV 89706
Phone (775) 445-5500

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800

976 Mountain City Hwy
Elko, NV 89801
Phone (775) 777-7586

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1821010752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18858",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110188",
            "telephone_number": "775-283-3315",
            "fax_number": "775-624-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SUNSET DR",
            "address_2": "RADIOLOGY",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501362",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "6160668-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23765",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101241650",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD28311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.