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KEITH E KORTMAN MD NPI 1942276332


NPI Information

NPI: 1942276332
Provider Name: KEITH E KORTMAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
8745 AERO DRIVE
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0950
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Keith E Kortman, MD is a diagnostic radiology radiology in San Diego, CA with 42 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Keith E Kortman, MD NPI is 1942276332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

8745 AERO DRIVE
SUITE 200
SAN DIEGO, CA
ZIP 92123-174
Phone: (858) 565-0950
Fax: (858) 244-1100

The NPI 1942276332 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.

  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)

The enumeration date for this NPI number is 2/24/2006 and was last updated on 10/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyG48065CALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyG48065CALIFORNIANo
32085B0100XRadiologyBody ImagingG48065CALIFORNIANo
42085U0001XRadiologyDiagnostic UltrasoundG48065CALIFORNIANo
52085N0904XRadiologyNuclear RadiologyG48065CALIFORNIANo
62085P0229XRadiologyPediatric RadiologyG48065CALIFORNIANo
72085R0203XRadiologyTherapeutic RadiologyG48065CALIFORNIANo
8208VP0000XPain MedicinePain MedicineG48065CALIFORNIANo
9208VP0014XPain MedicineInterventional Pain MedicineG48065CALIFORNIANo
102085R0202XRadiologyDiagnostic RadiologyG48065CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0083815MEDICAIDCALIFORNIA
2GR0083810MEDICAIDCALIFORNIA
3W529AMEDICARE PINCALIFORNIA
4TD009AMEDICARE PINCALIFORNIA
5A50915MEDICARE UPIN
6GR0083812MEDICAIDCALIFORNIA
7GR0083813MEDICAIDCALIFORNIA
8GR0083811MEDICAIDCALIFORNIA
9GR0083817MEDICAIDCALIFORNIA
10HW529BMEDICARE PINCALIFORNIA
11TD009BMEDICARE PINCALIFORNIA
12HW529AMEDICARE PINCALIFORNIA
13W529MEDICARE PINCALIFORNIA
14TP110MEDICARE PINCALIFORNIA
15GR0083816MEDICAIDCALIFORNIA
16HW529MEDICARE PINCALIFORNIA
17GR0083814MEDICAIDCALIFORNIA
18ZZZ75341ZMEDICAIDCALIFORNIA
19TD009MEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.