Organization Active NPI

Kenneth D Krause MD PC

  • General Practice Physician
  • Aurora, CO
National Provider Identifier
1023015435
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20384 Issued in CO
Legal business name
KENNETH D KRAUSE MD PC
Practice address
2600 S Parker Rd
#4-242
Aurora, CO 80014-1613
Phone
(303) 750-2082
Fax
(303) 750-6313
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Krause, MDNPI 1134290349
Title
President
Phone
(303) 750-2082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 20384 CO Primary

Addresses

Primary practice location

2600 S Parker Rd
#4-242
Aurora, CO 80014-1613

Mailing address

2600 S Parker Rd
#4-242
Aurora, CO 80014-1613
Phone (303) 750-2082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709001115 CO Part B Supplier - Clinic/Group Practice 1951389519 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

2600 S Parker Rd
#2221
Aurora, CO 80014
Phone (303) 680-5830

2600 S Parker Rd
Ste 4-242
Aurora, CO 80014
Phone (303) 744-8526

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1023015435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD",
            "address_2": "#4-242",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141613",
            "telephone_number": "303-750-2082",
            "fax_number": "303-750-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD",
            "address_2": "#4-242",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141613",
            "telephone_number": "303-750-2082",
            "fax_number": "303-750-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D KRAUSE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-750-2082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "20384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.