Active NPI
Kenneth A Weller, M.D.
- Family Medicine Physician
- Highlands Ranch, CO
National Provider Identifier
1023016128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36799
- Practice address
- 8925 Ridgeline Blvd
Suite 109
Highlands Ranch, CO 80129-2500 - Phone
- (303) 471-6500
- Fax
- (303) 471-5908
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36799 | CO | Primary |
Addresses
Primary practice location
8925 Ridgeline Blvd
Suite 109
Highlands Ranch, CO 80129-2500
Mailing address
8925 Ridgeline Blvd
Suite 109
Highlands Ranch, CO 80129-2500
Phone (303) 471-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8925 S Ridgeline Blvd
Suite 109
Highlands Ranch, CO 80129-2502
Phone (303) 471-6500
Hospital & facility affiliations
- Bayada Home Health Care Inc
- AdventHealth Littleton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 17 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36799 | CO | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Highlands Ranch, CO
- NPI 1588615280
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Castle Rock, CO
- NPI 1427482579
-
- Home Health Agency
- Denver, CO
- NPI 1669400214
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1740426063
-
- Home Health Agency
- Broomfield, CO
- NPI 1841347598
-
- Home Health Agency
- Lakewood, CO
- NPI 1538496096
-
- Emergency Care Clinic/Center
- Littleton, CO
- NPI 1548800154
Hospital
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1689688988
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1720628332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1023016128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8925 RIDGELINE BLVD",
"address_2": "SUITE 109",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292500",
"telephone_number": "303-471-6500",
"fax_number": "303-471-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8925 RIDGELINE BLVD",
"address_2": "SUITE 109",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292500",
"telephone_number": "303-471-6500",
"fax_number": "303-471-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "36799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.