Individual provider Active NPI

David M. Kilpatrick, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cheyenne, WY
National Provider Identifier
1124088554
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
5427A Issued in WY
Practice address
1740H Dell Range Blvd
206
Cheyenne, WY 82009-4946
Phone
(307) 630-0970
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5427A WY Primary

Addresses

Primary practice location

1740H Dell Range Blvd
206
Cheyenne, WY 82009-4946

Mailing address

1740H Dell Range Blvd
206
Cheyenne, WY 82009-4946
Phone (307) 630-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101109001113 WY Practitioner - Internal Medicine 8325233950
I20120515000709 CO Practitioner - Internal Medicine 8325233950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dmkmd PC Geriatric Medicine CurrentSince Feb 7, 2012 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

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

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1124088554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740H DELL RANGE BLVD",
            "address_2": "206",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094946",
            "telephone_number": "307-630-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740H DELL RANGE BLVD",
            "address_2": "206",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094946",
            "telephone_number": "307-630-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WY",
            "license": "5427A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.