NPIMap

Individual provider Active NPI

Kane Librum Anderson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Durango, CO
National Provider Identifier
1063514495
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
47733 Issued in CO
Practice address
555 Rivergate LN Ste B2-135
Durango, CO 81301-7480
Phone
(970) 828-0420
Fax
(833) 606-0682
NPI assigned
Sep 5, 2006
Last updated
May 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 47733 CO Primary

Addresses

Primary practice location

555 Rivergate LN Ste B2-135
Durango, CO 81301-7480

Mailing address

555 Rivergate LN Ste B2-135
Durango, CO 81301-7480
Phone (970) 828-0420

Other identifiers 1

IdentifierTypeStateIssuer
305752OtherCOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000403 CO Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6901952894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Orthomd LTDGroup PAC ID 8123536414, 2 clinicians

Practice addresses (Care Compare)

175 S Union Blvd
Suite 125
Colorado Springs, CO 80910-3147
Phone (719) 365-1950

555 Rivergate LN
Unit 135
Durango, CO 81301-7470
Phone (970) 828-0420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
65.9
Promoting interoperability
100
Improvement activities
40
Cost
71.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)72
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Dec 26, 2025 Accepting new patients
Orthomd LTD Hand Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

175 S Union Blvd
Ste 125
Colorado Springs, CO 80910

1 Mercado St
Ste 200
Durango, CO 81301
Phone (970) 375-3643

555 Rivergate Ln
Ste B2-135
Durango, CO 81301
Phone (970) 828-0420

555 Rivergate Ln
Unit 135
Durango, CO 81301
Phone (970) 828-0420

Interoperability endpoints

  • Direct secure messaging: kane.anderson.1@16938.direct.athenahealth.com
  • Direct secure messaging: kane.anderson.1@33345.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1063514495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE LN STE B2-135",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017480",
            "telephone_number": "970-828-0420",
            "fax_number": "833-606-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RIVERGATE LN STE B2-135",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017480",
            "telephone_number": "970-828-0420",
            "fax_number": "833-606-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KANE",
        "middle_name": "LIBRUM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CO",
            "license": "47733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "305752",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.