Organization Active NPI

Keith a Naftulin, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Littleton, CO
National Provider Identifier
1366683088
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
472 Issued in CO
Legal business name
KEITH A NAFTULIN, DPM, PC
Practice address
6169 S Balsam Way
270
Littleton, CO 80123-3062
Phone
(303) 932-7957
Fax
(303) 933-8271
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Authorized official

Name
Dr. Keith A Naftulin, DPMNPI 1437152550
Title
President
Phone
(303) 932-7957

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 472 CO Primary

Addresses

Primary practice location

6169 S Balsam Way
270
Littleton, CO 80123-3062

Mailing address

6169 S Balsam Way Ste 290
Littleton, CO 80123-3064
Phone (303) 932-7957

Other identifiers 1

IdentifierTypeStateIssuer
01004720MedicaidCO

Other names 1

  • Medical and Surgical Foot and Ankle Care, PC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knaftulin@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090429000073 CO Part B Supplier - Clinic/Group Practice 3173671245 Receives reassigned benefits from 3 practitioners
Practice locations: Littleton, CO
O20100930030078 CO DME Supplier - Physician - Podiatry 3173671245 Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

6169 S Balsam Way
Ste 270
Littleton, CO 80123
Phone (303) 932-7957

6169 S Balsam Way
Ste 290
Littleton, CO 80123
Phone (303) 932-7957

Practitioners & affiliated clinicians

Practitioners 4

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": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1366683088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY STE 290",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233064",
            "telephone_number": "303-932-7957",
            "fax_number": "303-933-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "270",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "303-932-7957",
            "fax_number": "303-933-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A NAFTULIN, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "NAFTULIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-932-7957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004720",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knaftulin@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6169 S Balsam Way",
            "address_2": "270",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801233062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Medical and Surgical Foot and Ankle Care, PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medical and Surgical Foot and Ankle Care, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.