Individual provider Active NPI

Kenneth V Salce, M.D.

  • Diagnostic Radiology Physician
  • Flagstaff, AZ
National Provider Identifier
1902851389
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17547 Issued in AZ
Practice address
77 W. Forest Avenue
Suite 101
Flagstaff, AZ 86001-1482
Phone
(928) 773-2515
Fax
(928) 773-2240
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17547 AZ Primary

Addresses

Primary practice location

77 W. Forest Avenue
Suite 101
Flagstaff, AZ 86001-1482

Mailing address

Dept 2018
PO Box 29675
Phoenix, AZ 85038-9675

Other identifiers 2

IdentifierTypeStateIssuer
285230MedicaidAZ
993733MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000922 AZ Practitioner - Diagnostic Radiology 7315929726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Radiology P CGroup PAC ID 4880683085, 20 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1501 Williamson Ave
Winslow, AZ 86047-2735
Phone (928) 289-4691

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 634-2251

3700 W State Route 89a
Sedona, AZ 86336-4937
Phone (928) 204-3000

77 W Forest Ave
Suite 101
Flagstaff, AZ 86001-1482
Phone (928) 773-2515

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Little Colorado Medical Center Hospital, Winslow, AZ, CCN 031311
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Radiology P C Diagnostic Radiology CurrentSince Jan 1, 2002 Accepting new patients
Page Hospital Past Accepting new patients

Locations

460 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5550

1298 W Finnie Flat Rd
Camp Verde, AZ 86322
Phone (928) 639-5509

450 S Willard St
Ste 111
Cottonwood, AZ 86326
Phone (928) 639-6587

450 S Willard St
Ste 115
Cottonwood, AZ 86326
Phone (928) 634-3025

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1485 N Turquoise Dr
Flagstaff, AZ 86001
Phone (928) 774-6626

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

77 W Forest Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 773-2215

77 W Forest Ave
Ste 102
Flagstaff, AZ 86001

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1902851389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 2018",
            "address_2": "PO BOX 29675",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W. FOREST AVENUE",
            "address_2": "SUITE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-773-2515",
            "fax_number": "928-773-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCE",
        "first_name": "KENNETH",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "17547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285230",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "993733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.