Active NPI
Sharon Marrs Kessler, MD
- Dermatology Physician
- Pueblo, CO
National Provider Identifier
1164414801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 29620
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01296201 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 28 |
| Removal of skin lesions | 985 |
| Removal or shaving of skin growth | 57 |
| Skin biopsy | 121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29620 | CO | MD | Dermatology Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.