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

Dr. Jonathan Leif Killam, MD

Individual provider Diagnostic Radiology Physician · NPI 1356588420

Dr. Jonathan Leif Killam, MD is a Diagnostic Radiology in Lebanon, New Hampshire. Qualified in 2004, 22 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and New Hampshire.

Years since qualifying
22
Licensed in
MD, NH
In the registry since
2009
Specialties on file
2
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

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 W End Ave, New York, NY 10023-7826 — (917) 604-8807

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence EL11796 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0068351 (MD)

Record details

NPI number1356588420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2009
Last updated in NPPESMay 3, 2023
Certification dateApril 10, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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