Roly Creekmore Kanard, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42111 Issued in CO

Practice address

1000 Rush Dr
Salida, CO 81201-9627

Phone

(719) 530-2048

Fax

(719) 530-2055

NPI assigned

Feb 28, 2007

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, ME2 enrollments

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 2

Specialty

Internal Medicine

Education

Ohio State University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspen Valley Hospital DistrictGroup PAC ID 9234123266, 38 clinicians

Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand River Hospital District Hospital, Rifle, CO, CCN 061317
• Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkanard278295@direct.mmc.mainehealth.org
• Direct secure messaging: vvh_him@direct.vvh.org

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.

• Aspen Valley Hospital District

  • Critical Access Hospital
  • Aspen, CO
  • NPI 1518960814
  Medicare reassignment Care Compare group NPD
• Grand River Hospital District

  dba Grand River Primary Care

  • Rural Health Clinic/Center
  • Rifle, CO
  • NPI 1124074042
  Medicare reassignment NPD
• Grand River Hospital District

  dba Grand River Medical Center

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Medicare reassignment NPD
• Salida Hospital District

  • Internal Medicine Physician
  • Salida, CO
  • NPI 1972778272
  Medicare reassignment NPD
• Valley View Hospital Association

  dba Valley View Hospital Professional Services

  • Emergency Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1114654795

  Internal Medicine

  Medicare reassignment NPD
• Valley View Hospital Association

  dba Calaway Young Cancer Center

  • Hospitalist Physician
  • Glenwood SPGS, CO
  • NPI 1619118064
  Medicare reassignment NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584
  Medicare reassignment
• Aspen Valley Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Aspen, CO
  • NPI 1942357363
  NPD
• Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood Springs, CO
  • NPI 1356899421
  NPD
• Grand River Hospital District

  dba Grand River Health Diabetes Prevention Program

  • Health Educator
  • Rifle, CO
  • NPI 1194365544
  NPD

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

• Aspen Valley Hospital District

  dba Basalt After Hours Care Center

  • Urgent Care Clinic/Center
  • Basalt, CO
  • NPI 1396986261

  Hospital

  Care Compare affiliation
• Aspen Valley Hospital District

  • Critical Access Hospital
  • Aspen, CO
  • NPI 1518960814
  Care Compare affiliation
• Aspen Valley Hospital District

  dba Snowmass Clinic

  • Clinic/Center
  • Snowmass Village, CO
  • NPI 1710942495

  Hospital

  Care Compare affiliation
• Aspen Valley Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Aspen, CO
  • NPI 1942357363

  Hospital

  Care Compare affiliation
• Grand River Hospital District

  dba Grand River Medical Center

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1235266891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 JUNIPER TRL",
            "city": "EL JEBEL",
            "state": "CO",
            "postal_code": "816238651",
            "telephone_number": "303-921-7659",
            "fax_number": "719-530-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2048",
            "fax_number": "719-530-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Northport Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156009",
            "country_code": "US",
            "telephone_number": "207-661-8109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANARD",
        "first_name": "ROLY",
        "middle_name": "CREEKMORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42111",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD23530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol P Johnson, PA-C
• Jeanette Johnson
• Karen A. Johnson, M.D.
• Jubilant Restoration, LLC
• Whitney Elizabeth Juselius, M.D.
• Karis Counseling, Inc.
• Charlotte S Karls, PA-C
• Harald Kasper, PT
• Cory Renay Friendshuh Kelly, LPC
• David Cornelius Kelsey

• Internal Medicine Physician in Salida, CO
• Providers in Salida, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.

Verify at the official NPI Registry.