Active NPI
Daniel Kirkham, M.D.
- Diagnostic Radiology Physician
- La Grande, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD28311
- 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, 2017
- 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 4
| 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 | 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| High Desert Imaging LLC | Current | Accepting new patients | |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| Tahoe Carson Radiology Loos Et Al LTD | Diagnostic Radiology | 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
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.
-
dba Northern Inyo Hospital
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
-
dba Tahoe Carson Radiology
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1902838352
CA
-
- Diagnostic Radiology Physician
- La Grande, OR
- NPI 1922164482
-
dba Northern Inyo Hospital
- Medicare Defined Swing Bed Hospital Unit
- Bishop, CA
- NPI 1669798815
-
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1093747446
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Rapid City, SD
- NPI 1679535132
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- Critical Access Hospital
- Winnemucca, NV
- NPI 1750498010
-
dba Northern Inyo Hospital
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
-
dba Northeastern Nevada Regional Hospital
- Rural Acute Care Hospital
- Elko, NV
- NPI 1770674350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.