Active NPI
David M. Kilpatrick, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Cheyenne, WY
National Provider Identifier
1124088554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 5427A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dmkmd PC | Geriatric Medicine | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Cheyenne, WY
- NPI 1841566478
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.