NPIMap

Individual provider Active NPI

Kendra Diane Conzen, MD

  • Transplant Surgery Physician
  • Aurora, CO
National Provider Identifier
1316168156
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
DR55363 Issued in CO
Practice address
1635 Aurora CT
Aop 7TH Floor
Aurora, CO 80045-2541
Phone
(720) 848-0907
Fax
(720) 848-0841
NPI assigned
May 1, 2007
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X DR55363 CO Primary
Surgery Physician 208600000X 200813978 MO

Addresses

Primary practice location

1635 Aurora CT
Aop 7TH Floor
Aurora, CO 80045-2541

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151105001104 CO Practitioner - General SurgeryPractitioner - General PracticePractitioner - Pediatric Medicine 1052554656 Reassigns benefits to 1 organization
I20200408004108 MT Practitioner - General Surgery 1052554656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
University of California, San Francisco School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

1635 Aurora CT
Aurora, CO 80045-2541
Phone (720) 848-0000

2900 12TH Ave N
Suite 160W
Billings, MT 59101-7508
Phone (406) 237-7999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR55363COMDTransplant Surgery Physician
200813978MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Transplant Surgery CurrentSince Feb 25, 2020 Accepting new patients
University Physicians Incorporated CurrentSince Oct 1, 2015 Accepting new patients
University Physicians, Incorporated Past Accepting new patients
University of Colorado Hospital Authority Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13123 E 16th Ave
Ste B130
Aurora, CO 80045

1635 Aurora Ct
Aurora, CO 80045
Phone (720) 848-1060

1635 Aurora Ct
Fl 4
Aurora, CO 80045
Phone (720) 848-2000

1635 Aurora Ct
Fl 7
Aurora, CO 80045
Phone (720) 848-0191

1635 Aurora Ct
Ste B154
Aurora, CO 80045
Phone (720) 848-2245

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Organizations & group practices 5

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1316168156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT",
            "address_2": "AOP 7TH FLOOR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-0907",
            "fax_number": "720-848-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONZEN",
        "first_name": "KENDRA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CO",
            "license": "DR55363",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "200813978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.