Individual provider Active NPI

Wesley Jacob Klejch, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1942651609
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2022-0907 Issued in NM
Practice address
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone
(505) 998-3096
Fax
(505) 998-3100
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 286646 MA
Diagnostic Radiology Physician 2085R0202X MD2022-0907 NM Primary

Addresses

Primary practice location

8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640

Mailing address

8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone (505) 998-3096

Other identifiers 1

IdentifierTypeStateIssuer
34128077MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220711002370 NM Practitioner - Diagnostic Radiology 5597057455 Reassigns benefits to 2 organizations
I20231101003493 AZ Practitioner - Diagnostic Radiology 5597057455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
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

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
94.67
Improvement activities
40
Cost
67.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2022-0907NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jul 6, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Jul 6, 2022 Accepting new patients
Northern Arizona Radiology P C Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Nov 1, 2022 Accepting new patients
University of Chicago Medical Center Past Accepting new patients

Locations

340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551

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

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

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

8020 Constitution Pl NE
Ste 202
Albuquerque, NM 87110
Phone (505) 559-5628

8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

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.

Hospital & facility affiliations 6

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1942651609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEJCH",
        "first_name": "WESLEY",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "286646",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2022-0907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34128077",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.