Kevin R Fitzgerald, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30381 Issued in CO

Practice address

510 29 1/2 Rd
Grand Junction, CO 81504-5383

Phone

(970) 248-6900

NPI assigned

Jul 7, 2006

Last updated

Nov 13, 2024By the provider in NPPES

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

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

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mesa County Health Department

  • Ambulatory Family Planning Facility
  • Grand Junction, CO
  • NPI 1407064819
  Medicare reassignment
• Mesa County Health Department

  • Community Health Registered Nurse
  • Grand Junction, CO
  • NPI 1275536146
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1245263110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 29 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045383",
            "telephone_number": "970-248-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 29 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045383",
            "telephone_number": "970-248-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KEVIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Fisher, APN
• Melissa Erin Fisher, LCSW
• Amanda Elizabeth Fisk, RNFA
• Bonnie Jean Fiske, OD
• Fit for Home, LLC
• Hayden Fitzpatrick
• Megan Fitzsimmons, PT, DPT
• Five Star Quality Care-Colorado LLC (La Villa Grande Care Center)
• Five Star Quality Care-Colorado LLC (La Villa Grande Care Center)
• Five Star Quality Care-Colorado LLC (Mantey Heights Rehab & Care)

• Family Medicine Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.