Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimball Lael Christianson, MD

Individual provider Diagnostic Radiology Physician · NPI 1316113228

Kimball Lael Christianson, MD practises Diagnostic Radiology in Provo, Utah. Graduated from Vanderbilt University School of Medicine in 2005, 21 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Idaho, North Carolina, Oregon and Utah.

Years since qualifying
21
Trained at
Vanderbilt University School of Medicine
Licensed in
ID, NC, OR, UT
In the registry since
2008
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 500 W Ste 112 Bldg C
Provo, UT 84604
Phone: (801) 812-4624
Fax: (801) 812-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 10926114-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2010-00277 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD153988 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-11249 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 135137 (NC)

Record details

NPI number1316113228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2008
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,310
Services billed 14,751 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Revere Health PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 410 clinicians in the practice; 12 are shown here.

Other providers in Provo