Doctor profile · Federal record
Dr. Kelly Dahlstrom, D.O.
Neuroradiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Salt Lake City, UT
- NPI 1134533417
- Accepts Medicare
- MIPS 87.6 / 100 · 2023
- 12 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
30 N 1900 E Rm 1A071
Salt Lake City, UT 841322140
(801) 581-7553 - Additional location
-
1500 S Main St
Fort Worth, TX 761044917
(817) 702-1255
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- May 5, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 2085N0700X — NUCC code
- State license (1)
- Utah #11262272-1204
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134533417. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,846
Distinct HCPCS
10
Medicare allowed
$109,053
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
70450 |
Ct scan head or brain without contrast | 418 | 374 | $38 | |
70553 |
Mri scan of brain before and after contrast | 276 | 255 | $105 | |
72125 |
Ct scan of upper spine without contrast | 94 | 94 | $44 | |
70553 |
Mri scan of brain before and after contrast | 87 | 84 | $103 | |
70491 |
Ct scan of soft tissue of neck with contrast | 83 | 80 | $63 | |
70551 |
Mri scan of brain without contrast | 71 | 71 | $68 | |
72082 |
X-ray of entire middle and lower spine, 2-3 views | 71 | 70 | $14 | |
70496 |
Ct scan of blood vessels of head with contrast | 60 | 60 | $78 | |
70498 |
Ct scan of blood vessels of neck with contrast | 60 | 60 | $76 | |
70355 |
X-ray of lower jaws, upper jaws and teeth | 54 | 54 | $9 |
In context: peer comparison
Among 9 peers in Salt Lake City Neuroradiology Physician, average services per provider: 64. This provider delivers 29× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kelly Dahlstrom's medical specialty?
Dr. Kelly Dahlstrom practices Neuroradiology Physician in Salt Lake City, UT.
Where does Dr. Kelly Dahlstrom practice?
Dr. Kelly Dahlstrom practices at 30 N 1900 E Rm 1A071, Salt Lake City, UT 841322140. Office phone: 8015817553.
What is Dr. Kelly Dahlstrom's NPI?
Dr. Kelly Dahlstrom's National Provider Identifier (NPI) is 1134533417, issued by NPPES.
Does Dr. Kelly Dahlstrom accept Medicare assignment?
Yes. Dr. Kelly Dahlstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Dahlstrom commonly perform?
Top Medicare-reported procedures in 2023: 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). Source: CMS Medicare Physician & Other Practitioners file.