Individual provider Active NPI

Guy L Kemling, MD

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1154386795
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31270 Issued in CO
Practice address
1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656
Phone
(719) 561-4336
Fax
(719) 561-8469
NPI assigned
Apr 18, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31270 CO Primary

Addresses

Primary practice location

1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656

Mailing address

1619 N Greenwood St Ste 208
Pueblo, CO 81003-2656
Phone (719) 561-4336

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120220000230 CO Practitioner - Family Practice 4486812666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ted J Puls MD PCGroup PAC ID 5294703831, 3 clinicians

Practice addresses (Care Compare)

1619 N Greenwood St
Suite 208
Pueblo, CO 81003-2656
Phone (719) 561-4336

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31270COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Family Medicine, PC Family Medicine CurrentSince Nov 1, 2000 Accepting new patients
Ted J Puls MD PC Family Medicine CurrentSince Jul 8, 2024 Accepting new patients

Locations

1600 N Grand Ave
Ste 310
Pueblo, CO 81003
Phone (719) 542-0072

1619 N Greenwood St
Ste 208
Pueblo, CO 81003
Phone (719) 543-6633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1154386795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 208",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-561-4336",
            "fax_number": "719-561-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 208",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032656",
            "telephone_number": "719-561-4336",
            "fax_number": "719-561-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMLING",
        "first_name": "GUY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.