KELLEN JOHN STOLZE DO
NPI 1710440243
Radiology - Diagnostic Radiology in Albuquerque, NM

Q: What is Kellen Stolze's NPI number?

The NPI number for Kellen Stolze is 1710440243. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Kellen Stolze's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kellen Stolze was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment

8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110(505) 559-5629(505) 998-3100 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 27, 2026, Jul 15, 2026, Jun 30, 2025 and 2 more (5 updates tracked since 2019).

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About Kellen John Stolze Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEN JOHN STOLZE DO (NPI 1710440243) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (DO2025-0069) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710440243

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKELLEN JOHN STOLZECredential: DO

Location Address8020 CONSTITUTION PL NE STE 202Albuquerque, NM 87110-7640

Mailing Address8020 Constitution Pl Ne Ste 202Albuquerque, NM 87110-7640 · (505) 559-5629 · Fax (505) 998-3100

Phone(505) 559-5629

Fax(505) 998-3100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 11, 2019

Last NPPES UpdateJuly 27, 20265 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1710440243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NM · DO2025-0069

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

8020 CONSTITUTION PL NE STE 202, Albuquerque, NM 87110

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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

Kellen John Stolze Do 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.

PECOS PAC ID2769715614

PECOS Enrollment IDI20250701000989

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320004

Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County

Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM

OwnershipProprietary

CMS Certification Number320033

Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JOSE BERNARDO REBEIL-DE LA ROSA MD

Radiology (Diagnostic Radiology)