Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kristen Wikholm Kieley, MD

Individual provider Body Imaging Physician · NPI 1780810606

Kristen Wikholm Kieley, MD practises Diagnostic Radiology in San Luis Obispo, California. Qualified in 2008, 18 years ago. Practices with San Luis Imaging Medical Group Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
18
Licensed in
CA, MN
In the registry since
2009
Specialties on file
4
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

1100 Monterey St Ste 200
San Luis Obispo, CA 93401-3102 Not confirmed with CMS for 11 years — call before visiting
Phone: (805) 542-9700
Fax: (805) 542-0584
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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 A130814 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence 25161 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25161 (MN)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 25161 (MN)

Record details

NPI number1780810606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2009
Last updated in NPPESNovember 11, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice San Luis Imaging Medical Group Inc — 4 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 patients2,685
Services billed 5,236 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.

  • Adventist Health Sierra Vista Hospital · San Luis Obispo, CA
  • French Hospital Medical Center Hospital · San Luis Obispo, CA
  • Marian Regional Medical Center Hospital · Santa Maria, CA

Colleagues at San Luis Imaging Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 4 clinicians in the practice; 2 are shown here.

Other providers in San Luis Obispo