Eric Alan Kelts, MD
Individual provider Active NPI Neurology Physician · Centennial, CO
NPI 1861541005 · NPPES record last updated Nov 21, 2013
Key facts
- NPI
- 1861541005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 43856 (CO)
- Practice address
- 7400 E Arapahoe Rd
Ste. 100
Centennial, CO 80112-1279 - Phone
- (303) 284-7950
- Fax
- (720) 542-9930
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Sanford School of Medicine of University of South Dakota, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Titan Neurophysiology PA
Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
520 Sage Dr
Torrington, WY 82240-8300
Phone (484) 351-8459
677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Morrill County Community Hospital
- Cedar-Sinai Marina del Rey Hospital
- Monument Health Spearfish Hospital
- Northridge Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in SD, CO, NE, WY
- 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 |
|---|---|---|---|---|
| I20050901000967 | SD | Practitioner - Neurology | 1456310473 | Reassigns benefits to 1 organization |
| I20060323000120 | CO | Practitioner - Neurology | 1456310473 | Reassigns benefits to 1 organization |
| I20150611001536 | NE | Practitioner - Neurology | 1456310473 | Reassigns benefits to 2 organizations |
| I20210910002536 | WY | Practitioner - Neurology | 1456310473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43856 | CO | MD | Neurology Physician |
| MD2013-0786 | NM | MD | Neurology Physician |
| 215819-1 | NY | MD | Neurology Physician |
| 5674 | SD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrill County Community Hospital | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Morrill County Community Hospital | Current |
Accepting new patients | |
| Morrill County Community Hospital | Current | Accepting new patients | |
| Titan Neurophysiology PA | Neurology | Current |
Accepting new patients |
| Mpower Clinical TX | Neurology | Current |
Accepting new patients |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| K Alan Kelts MD Steven K Hata MD Robert C Finley MD Etal PTRS | Neurology | Past | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Stan Worley MD PC | Past | Accepting new patients | |
| Morrill County Community Hospital | Past | Accepting new patients | |
| Neuro-Ophthalmology Consultants of Rochester | Neurology | Past | Accepting new patients |
| Fort Collins Radiologic Associates PC | Past | Accepting new patients |
Locations
1660 S Albion St
Ste 425
Denver, CO 80222
Phone (303) 578-2114
1313 S St
#A
Bridgeport, NE 69336
Phone (308) 262-1755
1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616
677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224
2929 5th St
Ste 240
Rapid City, SD 57701
Phone (605) 341-3770
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
2915 W Bitters Rd
Ste 201
San Antonio, TX 78248
Interoperability endpoints
- ekelts659962@hisp.ehr.sutterhealth.org
- erickelts@mcch.medalliesdirect.net
- ekelts872730@direct.ghs.myhfn.org
- casacolina@direct.casacolina.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5674 | SD | |
| Neurology Physician | 2084N0400X | 43856 | CO | Yes |
| Neurology Physician | 2084N0400X | 215819-1 | NY | |
| Neurology Physician | 2084N0400X | MD2013-0786 | NM |
Addresses
Primary practice location
7400 E Arapahoe Rd
Ste. 100
Centennial, CO 80112-1279
Mailing address
7400 E Arapahoe Rd
Ste. 100
Centennial, CO 80112-1279
Phone (303) 284-7950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024437 | Medicaid | AZ | |
| 460403740 | Other | SD | TRICARE |
| 4994386 | Other | SD | BC BS |
| 6100970 | Medicaid | SD | |
| 123280100 | Medicaid | WY | |
| 53839731 | Medicaid | CO |
Other providers in Centennial, CO
- Sean Kelley
- Andrea L Kellogg
- Colleen Kathleen Kelly
- Stephanie A Kelly
- Kelmd PLLC
- Kwai Kendall Grove
- Katelyn Elizabeth Kendrick
- Kendrick Kennedy
- Pamela K Kennel
- Kenneth E Katz MD PC
All providers in Centennial, CO · Neurology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2013. 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.