Active NPI
Kim Marie Feldhaus
- Emergency Medicine Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 30447
- Practice address
- 1100 Balsam Ave
Boulder, CO 80304-3404 - Phone
- (303) 440-2037
- Fax
- (303) 306-7753
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30447 | CO | Primary |
Addresses
Primary practice location
1100 Balsam Ave
Boulder, CO 80304-3404
Mailing address
PO Box 173894
Denver, CO 80217-3894
Phone (303) 306-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01304476 | Medicaid | CO |
Other names 1
- Kim Feldhaus
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30447 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Emergency Medicine | Current | Accepting new patients |
| Boulder Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Boulder Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Colorado Permanente Medical Group, P.C. | Emergency Medicine | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients |
Locations
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
- Emergency Medicine Physician
- Boulder, CO
- NPI 1659354637
-
dba Boulder Community Hospital
- Psychiatry Physician
- Boulder, CO
- NPI 1083799928
Emergency Medicine
-
dba Community Medical Assoc of BCH
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
-
- Emergency Medicine Physician
- Lafayette, CO
- NPI 1407454317
-
dba Community Medical Associates of BCH
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
dba CPMG
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1194700195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173894",
"city": "DENVER",
"state": "CO",
"postal_code": "802173894",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BALSAM AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043404",
"telephone_number": "303-440-2037",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDHAUS",
"first_name": "KIM",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "30447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01304476",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "FELDHAUS",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.