Individual provider Active NPI

Kevin Huynh

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1427622026
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006752 Issued in CO
Practice address
1955 Yosemite St
Denver, CO 80220-2254
Phone
(619) 723-0484
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006752 CO Primary

Addresses

Primary practice location

1955 Yosemite St
Denver, CO 80220-2254

Mailing address

300 S Jackson St Ste 240
Denver, CO 80209-3131
Phone (619) 723-0484

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706001016 CO Practitioner - Physician Assistant 9931501566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denver Wellness AssociatesGroup PAC ID 3274949730, 50 clinicians
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

400 S Colorado Blvd
Suite 600
Denver, CO 80246-1239
Phone (720) 724-3668

63 N Quebec St
Suite 201
Denver, CO 80230-7358
Phone (303) 248-7897

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006752COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Dec 31, 2025 Accepting new patients
Denver Wellness Associates CurrentSince Aug 25, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Dec 31, 2025 Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1427622026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "619-723-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202254",
            "telephone_number": "619-723-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.