NPIMap

Individual provider Active NPI

Kenneth Richard Epstein, MD

  • Hospitalist Physician
  • Boulder, CO
National Provider Identifier
1093776932
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
41652 Issued in CO
Practice address
690 Hartford Drive
Boulder, CO 80305
Phone
(303) 520-0635
Fax
(303) 362-9506
NPI assigned
Mar 30, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41652 CO
Hospitalist Physician 208M00000X 41652 CO Primary

Addresses

Primary practice location

690 Hartford Drive
Boulder, CO 80305

Mailing address

690 Hartford Drive
Boulder, CO 80305
Phone (303) 520-0635

Other identifiers 3

IdentifierTypeStateIssuer
74305263MedicaidCO
37737015MedicaidCO
C810776OtherCOMEDICARE GROUP NUMBER

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
I20031125000835 CO Practitioner - Internal Medicine 7214849348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Prospect Ave
Estes Park, CO 80517-6312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41652COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Sep 17, 2017 Accepting new patients
Rural Physicians Group - Pannu PLLC Internal Medicine CurrentSince Aug 15, 2017 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Sep 17, 2017 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
S Pannu Inc Internal Medicine Past Accepting new patients
Jefferson University Physicians Internal Medicine Past Accepting new patients
Inpatient Consultants of Wyoming LLC Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

Organizations & group practices 9

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1093776932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 HARTFORD DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-520-0635",
            "fax_number": "303-362-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 HARTFORD DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-520-0635",
            "fax_number": "303-362-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "KENNETH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41652",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "41652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74305263",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37737015",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C810776",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.