Active NPI
Kendall L Lubeck, MD
- Internal Medicine Physician
- Littleton, CO
National Provider Identifier
1427041920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37900
- Practice address
- 7780 S Broadway
Suite 100
Littleton, CO 80122-2648 - Phone
- (303) 798-9996
- Fax
- (303) 730-1145
- NPI assigned
- Aug 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37900 | CO | Primary |
Addresses
Primary practice location
7780 S Broadway
Suite 100
Littleton, CO 80122-2648
Mailing address
205 S Garrison St
Lakewood, CO 80226-2843
Phone (720) 728-5170
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11936860 | Medicaid | CO | |
| 114679 | Other | CO | AETNA HMO |
| 7911022 | Other | CO | AETNA PPO |
| 84099770813 | Other | CO | PACIFICARE |
| 8500654003 | Other | CO | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37900 | CO | MD | Internal Medicine Physician |
Interoperability endpoints
- kendalllubeck@cpp.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1427041920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S GARRISON ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262843",
"telephone_number": "720-728-5170",
"fax_number": "303-730-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7780 S BROADWAY",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222648",
"telephone_number": "303-798-9996",
"fax_number": "303-730-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBECK",
"first_name": "KENDALL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "37900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11936860",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "114679",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7911022",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "84099770813",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8500654003",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}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 Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.