NPIMap

Individual provider Active NPI

Ryan A Kemp

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1376852921
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003710 Issued in CO
Practice address
1601 E 19TH Ave Ste 5100
Denver, CO 80218-1254
Phone
(303) 228-1240
Fax
(303) 306-7753
NPI assigned
Sep 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4700 AZ
Physician Assistant 363A00000X PA.0003710 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 5100
Denver, CO 80218-1254

Mailing address

PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783

Other identifiers 2

IdentifierTypeStateIssuer
P01268756OtherCORAILROAD MEDICARE
30427576MedicaidCO

Other names 1

  • Ryan A. Kemp Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RYAN.KEMP@hca3.eclinicaldirectplus.com

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
I20130813000661 CO Practitioner - Physician Assistant 7012105331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Joseph Hospital, IncGroup PAC ID 6204735970, 18 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
Suite 110
Denver, CO 80218-3667
Phone (303) 812-6850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Hospital, Inc CurrentSince Jun 17, 2024 Accepting new patients
Saint Joseph Hospital Inc CurrentSince Jun 17, 2024 Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Southwest Urgent Care, PLC. Past Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Emergency Physician Professional Association, LTD. Past Accepting new patients

Locations

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 110
Denver, CO 80218
Phone (303) 318-2460

Interoperability endpoints

  • Direct secure messaging: ryan.kemp@hca3.eclinicaldirectplus.com

Organizations & group practices 8

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1376852921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-228-1240",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "RYAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4700",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01268756",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30427576",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RYAN.KEMP@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1601 E 19th Ave Ste 5100",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "KEMP",
            "middle_name": "A.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.