KELLY D. LUDEMA D.O. NPI 1497798268

NPI Information

  • NPI: 1497798268
  • Provider Name: KELLY D. LUDEMA, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3264 N EVERGREEN DR NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 363-7339

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NPI Details

Kelly D. Ludema, D.O. is a diagnostic radiology radiology in Grand Rapids, MI with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kelly D. Ludema, D.O. NPI is 1497798268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1994

The provider's business location address is:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7339
Fax: (616) 361-5828

The NPI 1497798268 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound scan of chest (HCPCS:76604)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 6/26/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology5101012386MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11600668OTHERMICHIGANPHP
20C36027031MEDICARE ID-TYPE UNSPECIFIED
33053302594OTHERMICHIGANBCBS MI INDIVIDUAL PIN
4G95684MEDICARE UPIN
54535816MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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