Active NPI
Jay Kurth, D.O.
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1316975659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5666
- Practice address
- 608 E Harmony Rd
Suite 101
Fort Collins, CO 80525-3210 - Phone
- (970) 204-9069
- Fax
- (970) 624-3021
- NPI assigned
- Jun 28, 2006
- Last updated
- Feb 13, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5666 | SD | Primary |
Addresses
Primary practice location
608 E Harmony Rd
Suite 101
Fort Collins, CO 80525-3210
Mailing address
1627 E 18TH St
Loveland, CO 80538-4209
Phone (970) 663-0135
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160126100 | Medicaid | MN | |
| 51430339 | Medicaid | CO | |
| 1593277 | Medicaid | IA | |
| 5611762 | Medicaid | SD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030002204 | CO | Order and Referring Only - General Practice | 1850339649 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5666 | SD | MD | Pharmacist |
| 357 | NE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Nephrology Clinic PC | Past | Accepting new patients | |
| Colorado State University | Past | Accepting new patients | |
| Big Thompson Medical Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- jay.kurth.1@14940.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Loveland, CO
- NPI 1720011786
-
dba Hartshorn Health Service
- Clinic/Center
- Fort Collins, CO
- NPI 1528156437
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1316975659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 E 18TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384209",
"telephone_number": "970-663-0135",
"fax_number": "970-461-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 E HARMONY RD",
"address_2": "SUITE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253210",
"telephone_number": "970-204-9069",
"fax_number": "970-624-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTH",
"first_name": "JAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "5666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160126100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51430339",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1593277",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5611762",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.