Active NPI
Ketura Talbot, M.D.
- Family Medicine Physician
- Casper, WY
National Provider Identifier
1851688352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9893A
- Practice address
- 3632 American Way
Casper, WY 82604 - Phone
- (307) 234-6765
- Fax
- (307) 234-6998
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9893A | WY | Primary |
Addresses
Primary practice location
3632 American Way
Casper, WY 82604
Mailing address
3632 American Way
Casper, WY 82604
Phone (307) 234-6765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141118000069 | WY | Practitioner - Family Practice | 5294957742 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivinson Memorial Hospital
Practice addresses (Care Compare)
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142
Hospital & facility affiliations
- Enhabit Home Health
- Premium Health at Home Inc
- Ivinson Memorial Hospital
- Poudre Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.68 of 100
- Quality
- 75.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivinson Memorial Hospital | Current | Accepting new patients | |
| Ivinson Memorial Hospital | Current | Accepting new patients | |
| Ivinson Memorial Hospital | Past | Accepting new patients |
Locations
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Organizations & group practices 5
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.
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1366626269
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1912181827
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laramie, WY
- NPI 1952585861
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Laramie, WY
- NPI 1952857674
-
- Home Health Agency
- Laramie, WY
- NPI 1043459860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1851688352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 AMERICAN WAY",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-234-6765",
"fax_number": "307-234-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 AMERICAN WAY",
"city": "CASPER",
"state": "WY",
"postal_code": "82604",
"telephone_number": "307-234-6765",
"fax_number": "307-234-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOT",
"first_name": "KETURA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "9893A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.