Active NPI
Michael D. Kenner, M.D.
- Cardiovascular Disease Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 52174
- Practice address
- 1444 S Potomac St
Aurora, CO 80012-4508 - Phone
- (303) 750-0822
- Fax
- (303) 750-1298
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD174464 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | 52174 | CO | Primary |
| Cardiovascular Disease Physician | 207RC0000X | M7936 | ID |
Addresses
Primary practice location
1444 S Potomac St
Aurora, CO 80012-4508
Mailing address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 750-0822
Other practice location 1
940 Central Park Dr Ste 202
Steamboat Springs, CO 80487-8853
Phone (970) 870-1035
Other practice location 2
777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949
Other practice location 3
10000 SE Main St Ste 60
Portland, OR 97216-2461
Phone (503) 257-0959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54426065 | Medicaid | CO | |
| 805657700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, CO, OR, TN, AL, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Maryland School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Denver Health and Hospital Authority
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 458-6450
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
777 Bannock St
Denver, CO 80204-4597
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52174 | CO | MD | Cardiovascular Disease Physician |
| M7936 | ID | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Public Hospital District No. 2, Klickitat County, Washington | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Nuvoair Medical PC | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Fairbanks Memorial Cardiology Center, LLC | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Saint Alphonsus Medical Center Nampa, Inc. | Past | Accepting new patients | |
| Yampa Valley Medical Center | Past | Accepting new patients | |
| Boise Valley Asthma & Allergy PA | Past | Accepting new patients | |
| Gooding County Hospital District | Past | Accepting new patients | |
| Fairbanks Memorial Cardiology Center | Cardiovascular Disease | Past | Accepting new patients |
| Denver Health and Hospital Authority | Past | Accepting new patients | |
| North Phoenix Heart Center | Cardiovascular Disease | Past | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Cardiovascular Disease | Past | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
1650 Cowles St
#60A
Fairbanks, AK 99701
Phone (907) 458-5525
Dept LA 25339
Pasadena, CA 91185
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
777 Bannock St
Denver, CO 80204
777 Bannock St
Ste MC3450
Denver, CO 80204
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403
940 Central Park Dr
Ste 202
Steamboat Springs, CO 80487
Phone (970) 870-1035
1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322
1100 Central Park Dr
Ste 1050
Steamboat Springs, CO 80487
Phone (970) 870-1035
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
50 Milk St
Boston, MA 02109
50 Milk St
Fl 16
Boston, MA 02109
Phone (617) 213-0335
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1341 W Mockingbird Ln
Ste 600W
Dallas, TX 75247
Phone (303) 748-5781
Interoperability endpoints
- mkenner72544@direct.dhha.org
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
- michael.kenner.p1@direct.porterheart.nextgenshare.com
- mkenner154556@direct.ohsu.edu
Organizations & group practices 31
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.
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386193472
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
Cardiovascular Disease
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Acute Care Hospital
- Steamboat Springs, CO
- NPI 1790787307
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1437865920
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Denver Health East Grand Community Clinic & Emergency Center
- Emergency Care Clinic/Center
- Winter Park, CO
- NPI 1467762435
Hospital
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1417912460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "#210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800124508",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
}
],
"practiceLocations": [
{
"address_1": "940 Central Park Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Steamboat Springs",
"state": "CO",
"postal_code": "804878853",
"country_code": "US",
"telephone_number": "970-870-1035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044597",
"country_code": "US",
"telephone_number": "303-436-4949",
"fax_number": "303-602-3902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10000 SE Main St Ste 60",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972162461",
"country_code": "US",
"telephone_number": "503-257-0959",
"fax_number": "503-256-7757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNER",
"first_name": "MICHAEL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD174464",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "52174",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ID",
"license": "M7936",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54426065",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805657700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.