Individual provider Active NPI

Sharon Marrs Kessler, MD

  • Dermatology Physician
  • Pueblo, CO
National Provider Identifier
1164414801
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
29620 Issued in CO
Practice address
131 Colorado Ave
Pueblo, CO 81004-4213
Phone
(719) 542-4388
Fax
(719) 542-2854
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 29620 CO Primary

Addresses

Primary practice location

131 Colorado Ave
Pueblo, CO 81004-4213

Mailing address

131 Colorado Ave
Pueblo, CO 81004-4213
Phone (719) 542-4388

Other identifiers 1

IdentifierTypeStateIssuer
01296201MedicaidCO

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
I20080429000132 CO Practitioner - Dermatology 9739267972 Practice locations: Pueblo, CO

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 Colorado Ave
Pueblo, CO 81004-4213
Phone (719) 542-4388

Hospital & facility affiliations

  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions985
Removal or shaving of skin growth57
Skin biopsy121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29620COMDDermatology Physician

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1164414801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044213",
            "telephone_number": "719-542-4388",
            "fax_number": "719-542-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044213",
            "telephone_number": "719-542-4388",
            "fax_number": "719-542-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "SHARON",
        "middle_name": "MARRS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "29620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296201",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.