KELLY DAHLSTROM D.O.
NPI 1134533417
Radiology - Neuroradiology in Salt Lake City, UT
About Kelly Dahlstrom D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY DAHLSTROM D.O. (NPI 1134533417) is an individual neuroradiology provider in Salt Lake City, Utah, licensed in Utah (11262272-1204) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Fort Worth.
NPPES Registry Identity
Specialties & Licenses 2
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Dahlstrom D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 27
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSAdventhealth Shawnee Mission
Acute Care Hospitals · Shawnee Mission, KSLmh
Acute Care Hospitals · Lawrence, KSUniversity Of Ks Hlth System Great Bend Campus
Acute Care Hospitals · Great Bend, KSMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134533417, enumerated as an "individual" on June 16, 2014.
The provider is located at 30 N 1900 E RM 1A071 SALT LAKE CITY, UT 84132 and the phone number is (801) 581-7553.
Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Blue. Please consult your insurance carrier or call the provider to verify.
Kelly Dahlstrom is affiliated with: UNIVERSITY OF KANSAS HOSPITAL, ADVENTHEALTH SHAWNEE MISSION, LMH and UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS.