Active NPI
Kristine S Corkum, M.D.
- Pediatric Surgery Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- DR.0064377
- Practice address
- 13123 E 16TH Ave # 323
Aurora, CO 80045-7106 - Phone
- (720) 777-6571
- NPI assigned
- Apr 24, 2013
- Last updated
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125062642 | IL | |
| Pediatric Surgery Physician | 2086S0120X | DR.0064377 | CO | Primary |
Addresses
Primary practice location
13123 E 16TH Ave # 323
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
420 E Superior St
Rubloff 12th Floor
Chicago, IL 60611-4494
Phone (312) 503-7975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062642 | IL | MD | Surgery Physician |
| DR.0064377 | CO | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians Incorporated | Surgery | Current | Accepting new patients |
| University Physicians Incorporated | Surgery | Current | Accepting new patients |
| Children's Hospital Colorado | Past | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
13123 E 16th Ave
#323
Aurora, CO 80045
Phone (702) 777-4531
777 Bannock St
Denver, CO 80204
Dept 1061
Denver, CO 80256
Interoperability endpoints
- kcorkum228533@direct.childrenscolorado.org
- kcorkum230122@direct.dhha.org
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Surgery
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
dba CU Medicine - Cherry Creek Medical Center
- Internal Medicine Physician
- Denver, CO
- NPI 1972129369
Surgery
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Children's Hospital
- Aurora, CO
- NPI 1336245828
-
dba Wellington E. Webb Center for Primary Care
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1922049014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1427492289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE # 323",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-6571"
}
],
"practiceLocations": [
{
"address_1": "420 E Superior St",
"address_2": "Rubloff 12th Floor",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114494",
"country_code": "US",
"telephone_number": "312-503-7975",
"fax_number": "312-503-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORKUM",
"first_name": "KRISTINE",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2022-09-07",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125062642",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CO",
"license": "DR.0064377",
"primary": true
}
],
"identifiers": [],
"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 Sep 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.