Kreso Medical LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DR45223 Issued in CO

Legal business name

KRESO MEDICAL LLC

Doing business as

Mile High Internal Medicine and Urgent Care

Practice address

496 S Dayton St
Suite C
Denver, CO 80247-6929

Phone

(303) 341-5280

Fax

(303) 341-7163

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ermin Kreso, MDNPI 1679584916

Title

Owner

Phone

(303) 596-4861

Specialties & licenses 1

Addresses

Other names 1

• Mile High Internal Medicine and Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ermin Kreso, MD

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1679584916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1336481175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S SYRACUSE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306981",
            "telephone_number": "303-596-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 S DAYTON ST",
            "address_2": "SUITE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476929",
            "telephone_number": "303-341-5280",
            "fax_number": "303-341-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRESO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "KRESO",
        "authorized_official_first_name": "ERMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-596-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "DR45223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Internal Medicine and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lila Mae Kreis, MSW, LAC, SWC
• Benjamin Robert Kremer, L.A.C.
• Macey Kremer
• Kyle Warren Kreml
• Julie Lillianne Krenz, MD
• Ermin Kreso, MD
• Diane Kresser
• Ron Kreul, PH.D. MFT
• Lauren Kreuter, PT, DPT
• Flory M Kreutter, MD

• Medical Specialty Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.