Kenyon Joseph Weidle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49856 Issued in CO

Practice address

601 E Hampden Ave Ste 470
Englewood, CO 80113-2797

Phone

(303) 788-3100

Fax

(303) 788-3196

NPI assigned

Mar 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Nebraska College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenyon.weidle@hca3.eclinicaldirectplus.com

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.

• Healthone Clinic Services - Primary Care LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1518141761
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Denver, CO
  • NPI 1164620084
  Care Compare group
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD (past)
• HCA Healthone LLC

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  NPD (past)

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

• HCA Healthone LLC

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1083903165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218058",
            "telephone_number": "303-788-3100",
            "fax_number": "303-788-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 470",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132797",
            "telephone_number": "303-788-3100",
            "fax_number": "303-788-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDLE",
        "first_name": "KENYON",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "49856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23875313",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Webster
• Trysta N Wedding, LPCC
• Shae Weekley
• Katherine Mary Wehlage, MD
• Ellen Wehmeier
• Nehemiah Soler Weiner, LMFT
• Zachary Weinerman, BCBA
• Jeffry P Weingardt, MD
• Adam Weingart, MD
• Alan H Weintraub, MD

• Family Medicine Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.