Active NPI
Charles H. Kay, M.D.
- Family Medicine Physician
- Littleton, CO
National Provider Identifier
1063482198
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30530
- Practice address
- 6179 S Balsam Way
Suite 110
Littleton, CO 80123-3091 - Phone
- (303) 948-1570
- Fax
- (303) 972-6871
- NPI assigned
- Jan 23, 2006
- 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 | 30530 | CO | Primary |
Addresses
Primary practice location
6179 S Balsam Way
Suite 110
Littleton, CO 80123-3091
Mailing address
6179 S Balsam Way
Suite 110
Littleton, CO 80123-3091
Phone (303) 948-1570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01305309 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30530 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1063482198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6179 S BALSAM WAY",
"address_2": "SUITE 110",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801233091",
"telephone_number": "303-948-1570",
"fax_number": "303-972-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6179 S BALSAM WAY",
"address_2": "SUITE 110",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801233091",
"telephone_number": "303-948-1570",
"fax_number": "303-972-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "CHARLES",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "30530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01305309",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.