Active NPI
Geoffrey Kim
- Plastic and Reconstructive Surgery Physician
- Centennial, CO
National Provider Identifier
1295952729
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Nov 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- DR-43664
- Practice address
- 5161 E Arapahoe Rd
Suite 350
Centennial, CO 80122-2387 - Phone
- (303) 741-3131
- Fax
- (303) 741-3132
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DR-43664 | CO | Primary |
Addresses
Primary practice location
5161 E Arapahoe Rd
Suite 350
Centennial, CO 80122-2387
Mailing address
5161 E Arapahoe Rd
Suite 350
Centennial, CO 80122-2387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR-43664 | CO | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295952729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5161 E ARAPAHOE RD",
"address_2": "SUITE 350",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801222387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 E ARAPAHOE RD",
"address_2": "SUITE 350",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801222387",
"telephone_number": "303-741-3131",
"fax_number": "303-741-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GEOFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CO",
"license": "DR-43664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.