NPIMap

Individual provider Active NPI

Korrey D Klein, M.D.

  • Family Medicine Physician
  • Fruita, CO
National Provider Identifier
1063557809
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44847 Issued in CO
Practice address
401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308
Phone
(970) 858-9894
Fax
(970) 858-1331
NPI assigned
Feb 20, 2007
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44847 CO Primary

Addresses

Primary practice location

401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other identifiers 1

IdentifierTypeStateIssuer
75872544MedicaidCO

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
I20080815000594 CO Practitioner - Family Practice 9335214931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

281 N Plum St
Fruita, CO 81521-2100

P O Box
Suite 130
Fruita, CO 81521-0130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44847COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Dec 23, 2013 Accepting new patients
Lower Valley Hospital Association Family Medicine CurrentSince Dec 23, 2013 Accepting new patients
Lower Valley Hospital Association Family Medicine Current Accepting new patients
Lower Valley Hospital Association Current Accepting new patients

Locations

281 N Plum St
Fruita, CO 81521
Phone (970) 858-2530

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fl 2
Fruita, CO 81521

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBADAA/Endpoint/CBADAA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health West HospitalFruita, CO, CCN 061302 Hospital Corporate Officer
W-2 Managing Employee		 Aug 13, 2019
Aug 13, 2019
Family Health WestFruita, CO, CCN 06Z302 Hospital Corporate Officer
W-2 Managing Employee		 Aug 13, 2019
Aug 13, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063557809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KOKOPELLI BLVD STE 1",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213308",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "KORREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75872544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.