NPIMap

Organization Active NPI

Colorado Kids Pediatrics

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1306307665
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COLORADO KIDS PEDIATRICS
Practice address
1258 S Pearl St Ste 110
Denver, CO 80210-1538
Phone
(303) 399-7970
Fax
(303) 399-7905
NPI assigned
Mar 28, 2019
Organization subpart
Yes
Parent organization
COLORADO KIDS PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Noah Makovsky, MDNPI 1104911874
Title
President
Phone
(303) 399-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1258 S Pearl St Ste 110
Denver, CO 80210-1538

Mailing address

2975 Roslyn St Unit 100
Denver, CO 80238-3326
Phone (303) 399-7900

Other identifiers 1

IdentifierTypeStateIssuer
17402221MedicaidCO

Other names 1

  • Pearl Street Pediatrics Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2164716Colorado Kids Pediatrics at Pearl Street1258 South Pearl St, Denver, CO 80210Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Part of
Stapleton Pediatrics

Locations

2975 Roslyn St
Unit 100
Denver, CO 80238
Phone (303) 399-7900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1306307665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383326",
            "telephone_number": "303-399-7900",
            "fax_number": "303-799-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 S PEARL ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101538",
            "telephone_number": "303-399-7970",
            "fax_number": "303-399-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO KIDS PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO KIDS PEDIATRICS",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "MAKOVSKY",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-399-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17402221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Street Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.