Individual provider Active NPI

Kari J Nelson, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1992913974
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13867553-1205 Issued in UT
Practice address
8020 Constitution PL NE
Suite 202
Albuquerque, NM 87110-7607
Phone
(505) 998-3096
Fax
(505) 998-3100
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2009-0632 NM
Vascular & Interventional Radiology Physician 2085R0204X A100055 CA
Vascular & Interventional Radiology Physician 2085R0204X MD2009-0632 NM
Diagnostic Radiology Physician 2085R0202X 13867553-1205 UT Primary
Diagnostic Radiology Physician 2085R0202X A100055 CA

Addresses

Primary practice location

8020 Constitution PL NE
Suite 202
Albuquerque, NM 87110-7607

Mailing address

8020 Constitution PL NE
Suite 202
Albuquerque, NM 87110-7607
Phone (505) 998-3096

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knelson690265@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 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
I20081124000740 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153481940 Reassigns benefits to 7 organizations
I20240607002478 UT Practitioner - Diagnostic Radiology 1153481940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, shared by 7 NPIs, 1,758 clinicians
Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians

Practice addresses (Care Compare)

1871 Derby Dr
North Tustin, CA 92705-2508
Phone (801) 581-2121

315 Calle Pescador
San Clemente, CA 92672-2206
Phone (949) 388-4014

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Park City Hospital Hospital, Park City, UT, CCN 460057
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13867553-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Nayyar MD Inc Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Regents of the University of California CurrentSince Nov 1, 2019 Accepting new patients
Megha Nayyar Gupta MD Inc. Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Krishna Das MD Inc. Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
South Coast Radiological Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2024 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21591
Pasadena, CA 91185

1035 Placer St
Redding, CA 96001

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: knelson690265@direct.med.utah.edu
  • Direct secure messaging: knelson608268@direct.memorialcare.org

Organizations & group practices 11

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1992913974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107607",
            "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",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107607",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KARI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2009-0632",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A100055",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2009-0632",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "13867553-1205",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A100055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knelson690265@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.