NPIMap

Individual provider Active NPI

Kylie Beukema, MD

  • Family Medicine Physician
  • Westminster, CO
National Provider Identifier
1174918346
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0057546 Issued in CO
Practice address
11552 Sheridan Blvd
Westminster, CO 80020-3302
Phone
(303) 469-6000
NPI assigned
Apr 3, 2015
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 DR.0057546 CO Primary

Addresses

Primary practice location

11552 Sheridan Blvd
Westminster, CO 80020-3302

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

4075 E 128th Ave
Thornton, CO 80241-2201
Phone (303) 925-4210

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
I20180723000799 CO Practitioner - Family Practice 9436426764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2551 W 84TH Ave
Westminster, CO 80031-3807

4075 E 128TH Ave
Thornton, CO 80241-2201

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
Optumcare Colorado Medical Group LLC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2018 Accepting new patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 23, 2018 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

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

4075 E 128th Ave
Thornton, CO 80241
Phone (303) 925-4210

11552 Sheridan Blvd
Westminster, CO 80020
Phone (303) 469-6000

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 12

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 6

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1174918346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11552 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203302",
            "telephone_number": "303-469-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4075 E 128th Ave",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802412201",
            "country_code": "US",
            "telephone_number": "303-925-4210",
            "fax_number": "303-925-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEUKEMA",
        "first_name": "KYLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.