Active NPI
Kathleen Kollitz Jegapragasan, MD
- Orthopaedic Surgery Physician
- Boulder, CO
National Provider Identifier
1376959593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DR.0064432
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 59462 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | DR.0064432 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Other names 1
- Kathleen Kollitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 646-0953
4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Hospital & facility affiliations
- Monument Health Rapid City Hospital
- Boulder Community Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0064432 | CO | MD | Orthopaedic Surgery Physician |
| 59462 | MN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wray Community District Hospital | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Orthopaedic Surgery | Current | Accepting new patients |
| Bouldercentre for Orthopedics PC | Orthopaedic Surgery | Current | Accepting new patients |
| Wray Community District Hospital | Current | Accepting new patients | |
| Bouldercentre for Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
1185 State Highway 7
Ste 200
Broomfield, CO 80023
700 Main St
Wray, CO 80758
Phone (970) 332-3450
1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811
2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650
Interoperability endpoints
- kathleen.kollitz.1@3497.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
-
- Critical Access Hospital
- Wray, CO
- NPI 1083640239
-
- General Practice Physician
- Wray, CO
- NPI 1477587202
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
Hospital & facility affiliations 46
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1376959593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLITZ JEGAPRAGASAN",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "59462",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.0064432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "KOLLITZ",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.