Kelsey Bourm, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A153296 Issued in CA

Practice address

200 W Arbor Dr
San Diego, CA 92103

Phone

(619) 543-2218

NPI assigned

May 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Diagnostic Radiology

Education

University of Oklahoma College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenwood County HospitalGroup PAC ID 0042129603, 31 clinicians

Hutchinson Regional Medical Center IncGroup PAC ID 0648181198, 145 clinicians

Hutchinson Clinic PA IncGroup PAC ID 5597658492, 130 clinicians

Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Wichita Radiological Group Prof AssocGroup PAC ID 6507762960, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123
• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020
• Coffey County Hospital Hospital, Burlington, KS, CCN 171385
• William Newton Hospital Hospital, Winfield, KS, CCN 171383
• SCK Health Hospital, Arkansas City, KS, CCN 170779

Merit-based Incentive Payment System (MIPS)

Final score

81.86 of 100Reported as group

Quality

97.21

Improvement activities

40

Cost

44.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greenwood County Hospital

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1629044961
  Medicare reassignment Care Compare group NPD
• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474
  Medicare reassignment Care Compare group NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  Medicare reassignment Care Compare group NPD
• Wichita Radiological Group Prof Assoc

  • Specialist
  • Wichita, KS
  • NPI 1144256447
  Medicare reassignment Care Compare group NPD
• Southwest Medical Center

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment Care Compare group
• Hospital District No 1 of Rice Co

  • Critical Access Hospital
  • Lyons, KS
  • NPI 1710962014
  Medicare reassignment
• Ninnescah Valley Health Systems, Inc.

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1285629956
  Medicare reassignment
• Ninnescah Valley Health Systems, Inc.

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1508969965
  Medicare reassignment
• Greenwood County Hospital

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1750687216
  NPD
• Hutchinson Clinic, P.a., Inc.

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
  • NPI 1386619682
  NPD
• Hutchinson Clinic, P.a., Inc.

  • Clinical Medical Laboratory
  • Hutchinson, KS
  • NPI 1962477356
  NPD
• Hutchinson Clinic, PA, Inc.

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffey County Hospital

  • Critical Access Hospital
  • Burlington, KS
  • NPI 1376548370
  Care Compare affiliation
• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation
• South Central Kansas Regional Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1609842681
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1942646443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "fax_number": "316-685-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-543-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURM",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A153296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Beau Bourgette, MD
• David Paul Bourgouin, D.C.
• Eliza Bourke
• Margie Bourke, M.F.T.
• Valerie Lynn Bourke, AMFT, APCC
• Nzinga Bourne
• Debbie Bourommavong
• Dianne Seiler Bourque, RN
• William A Bourque, NP
• Emma Bourroux

• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.

Verify at the official NPI Registry.