Peter Y Kim, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

44868 Issued in CO

Practice address

4803 Ward Rd
Wheat Ridge, CO 80033-1902

Phone

(303) 338-4545

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Catholic Health Initiatives Colorado

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
  • NPI 1356783351

  CO

  Medicare reassignment NPD
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048

  CO

  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083

  CO, Obstetrics & Gynecology

  Medicare reassignment NPD
• Prowers County Hospital District

  • Critical Access Hospital
  • Lamar, CO
  • NPI 1821052929

  CO

  Medicare reassignment NPD
• Saint Joseph Hospital, Inc

  • Obstetrics & Gynecology Physician
  • Denver, CO
  • NPI 1154361350

  CO, Obstetrics & Gynecology

  Medicare reassignment NPD
• Catholic Health Initiatives Colorado

  • Cardiovascular Disease Physician
  • Frisco, CO
  • NPI 1215171558
  NPD
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD
• Gunnison Valley Hospital

  • Surgery Physician
  • Gunnison, CO
  • NPI 1215563366
  NPD
• Gunnison Valley Hospital

  • Urgent Care Clinic/Center
  • Gunnison, CO
  • NPI 1477361228
  NPD
• Gunnison Valley Hospital

  • Primary Care Clinic/Center
  • Gunnison, CO
  • NPI 1578997284
  NPD
• Intermountain Medical Group Denver, LLC

  • General Practice Physician
  • Wheat Ridge, CO
  • NPI 1063020923
  NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1235148487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 WARD RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331902",
            "telephone_number": "303-338-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 WARD RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331902",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Mountain View Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013182",
            "country_code": "US",
            "telephone_number": "720-652-8730",
            "fax_number": "720-652-8729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "PETER",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "44868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88771237",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER #",
            "identifier": "017611",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kilcoyne
• Victoria Ann Kuhlman Kilway
• Don Dongkyou Kim, AU.D.
• Jennie Kim, MPH, RDN
• Kelly Y Kim, M.D.
• Suzanne Marie Kimble, FNP
• Alissa Kimbrough
• Robert Allen King, MD
• Thomas B King, MD
• Kingdom Family Chiropractic Inc.

• All providers in Wheat Ridge, CO
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.