D MICHAEL KELLAM M.D.
NPI 1982648937
Radiology - Diagnostic Radiology in Cheyenne, WY
About D Michael Kellam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
D MICHAEL KELLAM M.D. (NPI 1982648937) is an individual diagnostic radiology provider in Cheyenne, Wyoming, licensed in Wyoming (4219A) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Medicare 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEYENNE, WY 82001
CHEYENNE, WY 82001
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is D Kellam's NPI number?
The NPI number for D Kellam is 1982648937. It was assigned to this individual provider in the NPPES registry on June 16, 2006.
Where is D Kellam located?
D Kellam practices at 800 E 20th St Suite 110, Cheyenne, WY 82001. The listed phone number is (307) 634-7711.
What is D Kellam's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
When was this NPI record last updated?
The NPPES record for D Kellam was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# D Michael Kellam, M.D. · NPI 1982648937
Diagnostic Radiology physician in Cheyenne, Wyoming. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1982648937 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 4219A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E 20TH ST, SUITE 110, Cheyenne, WY 82001-3859
- **Phone:** (307) 634-7711
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 104015400 (WY); Other 303602 (WY); Medicare ID-Type Unspecified 303602 (WY); and 7 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1982648937) · Data from the CMS NPPES public registry.