KELLY DAHLSTROM D.O. NPI 1134533417

NPI Details

Kelly Dahlstrom, D.O. is a neuroradiology radiology in Salt Lake City, UT with 11 years of experience. The provider is 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. Kelly Dahlstrom, D.O. NPI is 1134533417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2014

The provider's business location address is:

30 N 1900 E RM 1A071
SALT LAKE CITY, UT
ZIP 84132-140
Phone: (801) 581-7553

The NPI 1134533417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ct scan head or brain without contrast (HCPCS:70450)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Mri scan of brain without contrast (HCPCS:70551)
• X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Ct scan of face without contrast (HCPCS:70486)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• X-ray of spine, 1 view (HCPCS:72020)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Ct scan head or brain without contrast (HCPCS:70450)
• X-ray of skull, 1-3 views (HCPCS:70250)
• Ct scan of soft tissue of neck without contrast (HCPCS:70490)
• Mri scan of blood vessels of head without contrast (HCPCS:70544)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
• Ct scan of face without contrast (HCPCS:70486)
• Ct scan of soft tissue of neck without contrast (HCPCS:70490)
• Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
• Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
• Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)

The enumeration date for this NPI number is 6/16/2014 and was last updated on 5/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: