Individual provider Active NPI

Karyn P Leible, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Loveland, CO
National Provider Identifier
1043226368
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
DR.0031801 Issued in CO
Practice address
1303 E 11TH St
Loveland, CO 80537-5051
Phone
(970) 800-5402
Fax
(970) 669-6076
NPI assigned
Jul 31, 2006
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0031801 CO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 264204 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DR.0031801 CO Primary

Addresses

Primary practice location

1303 E 11TH St
Loveland, CO 80537-5051

Mailing address

8950 E Lowry Blvd
Denver, CO 80230-7030
Phone (303) 912-7193

Other practice location 1

802 W Drake Rd Ste 101
Fort Collins, CO 80526-5567
Phone (970) 449-5122

Other identifiers 1

IdentifierTypeStateIssuer
01318013MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000425 CO Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8820081805

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0031801COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 29, 2015 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Apr 29, 2015 Accepting new patients
Total Longterm Care, Inc. PastSince Dec 13, 2020 Accepting new patients
Osler Medical Inc Past Accepting new patients
Chronic Care Consultants Geriatric Medicine Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1043226368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307030",
            "telephone_number": "303-912-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E 11TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375051",
            "telephone_number": "970-800-5402",
            "fax_number": "970-669-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Drake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805265567",
            "country_code": "US",
            "telephone_number": "970-449-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBLE",
        "first_name": "KARYN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0031801",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "264204",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "DR.0031801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01318013",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.