NPIMap

Individual provider Active NPI

Michael A Kiley, PA

  • Surgical Physician Assistant
  • Louisville, CO
National Provider Identifier
1144297136
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0001403 Issued in CO
Practice address
90 Health Park Dr Ste 350
Louisville, CO 80027-9742
Phone
(303) 925-5068
Fax
(303) 925-5069
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0001403 CO
Surgical Physician Assistant 363AS0400X PA.0001403 CO Primary

Addresses

Primary practice location

90 Health Park Dr Ste 350
Louisville, CO 80027-9742

Mailing address

90 Health Park Dr Ste 350
Louisville, CO 80027-9742
Phone (303) 925-5068

Other identifiers 1

IdentifierTypeStateIssuer
77971353MedicaidCO

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
I20060213000703 CO Practitioner - Physician Assistant 7113932146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

4743 Arapahoe Ave
Boulder, CO 80303-1128

4743 Arapahoe Ave
Suite 100
Boulder, CO 80303-1123
Phone (303) 443-2123

90 Health Park Dr
Suite 350
Louisville, CO 80027-9742
Phone (303) 925-5068

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Longmont United Hospital Hospital, Longmont, CO, CCN 060003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1403COMDNeurology Physical Therapist
0077611NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Emergency Physicians PC CurrentSince Oct 9, 2001 Accepting new patients
Boulder Emergency Physicians PC CurrentSince Oct 9, 2001 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 2, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 2, 2022 Accepting new patients
Boulder Community Health CurrentSince Aug 1, 2025 Accepting new patients
Boulder Community Health CurrentSince Aug 1, 2025 Accepting new patients
Boulder Community Health Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Boulder Community Health Past Accepting new patients
Bouldercentre for Orthopedics PC Past Accepting new patients
North Colorado Emergency Physicians, PC Past Accepting new patients

Locations

2550 S Parker Rd
Ste 206
Aurora, CO 80014

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4743 Arapahoe Ave
Ste 202
Boulder, CO 80303
Phone (303) 938-5700

4743 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4599

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

90 Health Park Dr
Ste 350
Louisville, CO 80027
Phone (303) 666-7560

Interoperability endpoints

  • Direct secure messaging: mkiley1850173@adventhealth.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1144297136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 350",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279742",
            "telephone_number": "303-925-5068",
            "fax_number": "303-925-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 350",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279742",
            "telephone_number": "303-925-5068",
            "fax_number": "303-925-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001403",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0001403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77971353",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.