Kimberly J Caruso, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

47285 Issued in CO

Practice address

810 East 3Rd St, Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301

Phone

(970) 375-0100

Fax

(970) 375-9210

NPI assigned

Jan 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225

  OR

  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1184607020
  NPD
• Northwest Medical Foundation of Tillamook

  • Rural Health Clinic/Center
  • Vernonia, OR
  • NPI 1285164921
  NPD
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1083611644
  NPD (past)
• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  NPD (past)
• Pediatric Partners of the Southwest

  • Pediatrics Physician
  • Durango, CO
  • NPI 1083717219

  Pediatrics

  NPD (past)
• Pediatric Partners of the Southwest P.C.

  • Pediatrics Physician
  • Bayfield, CO
  • NPI 1205588100

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1033199047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EAST 3RD ST, SUITE #301",
            "address_2": "PEDIATRIC PARTNERS OF THE SOUTHWEST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD26255",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "47285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Carrasco-Songer, LCSW
• Karen Carrieri, RN
• Elizabeth H Carrington, NP
• Robert Phillip Carruesco
• John William Cartier Jr., MD
• Luke Casias
• Cynthia Karnes Cathcart, M.D.
• Catholic Health Iniatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado

• All providers in Durango, CO
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.