NPIMap

Individual provider Active NPI

Kimberly Lundgren Dulaney, MD

  • Cardiovascular Disease Physician
  • Colorado Springs, CO
National Provider Identifier
1356421622
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45236 Issued in CO
Practice address
6011 E Woodmen Rd
Ste 105
Colorado Springs, CO 80923-2602
Phone
(719) 571-8600
Fax
(719) 884-2898
NPI assigned
Oct 17, 2006
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 04-43142 KS
Cardiovascular Disease Physician 207RC0000X 45236 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd
Ste 105
Colorado Springs, CO 80923-2602

Mailing address

6011 E Woodmen Rd
Ste 105
Colorado Springs, CO 80923-2602
Phone (719) 571-8600

Other identifiers 1

IdentifierTypeStateIssuer
16223519MedicaidCO

Other names 1

  • Kimberly Sue Lundgren Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000424 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688774631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6819

7435 Sisters GRV
Suite 100
Colorado Springs, CO 80923-2628
Phone (719) 960-0363

904 Hailey LN
Pueblo West, CO 81007-4455
Phone (719) 960-0363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.57 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
71.89

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45236COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Uch-MHS CurrentSince Oct 1, 2012 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients
Uch-MHS Past Accepting new patients
Colorado Springs Cardiologists, P.C. Cardiovascular Disease Past Accepting new patients
Memorial Health System Past Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1400 E Boulder St
Ste 700
Colorado Springs, CO 80909
Phone (719) 365-7172

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

2222 N Nevada Ave
Ste 4007
Colorado Springs, CO 80907
Phone (719) 634-6671

2420 E Pikes Peak Ave
#1044
Colorado Springs, CO 80909

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Organizations & group practices 9

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1356421622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-571-8600",
            "fax_number": "719-884-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-571-8600",
            "fax_number": "719-884-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "KIMBERLY",
        "middle_name": "LUNDGREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-43142",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "45236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16223519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LUNDGREN",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.