Organization Active NPI

Kcor LLC

  • Nephrology Physician
  • Fort Collins, CO
National Provider Identifier
1437034782
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KCOR LLC
Doing business as
Kidney Care of the Rockies
Practice address
300 Boardwalk Dr Unit 3B
Fort Collins, CO 80525-3093
Phone
(970) 212-5367
Fax
(970) 212-5435
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Authorized official

Name
Varsha PathakNPI 1568621142
Title
MD
Phone
(970) 212-5367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

300 Boardwalk Dr Unit 3B
Fort Collins, CO 80525-3093

Mailing address

300 Boardwalk Dr Unit 3B
Fort Collins, CO 80525-3093
Phone (970) 212-5367

Other identifiers 1

IdentifierTypeStateIssuer
9000249165MedicaidCO

Other names 1

  • Kidney Care of the Rockies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915000844 CO Part B Supplier - Clinic/Group Practice 3173026127 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

300 Boardwalk Dr
Unit 3B
Fort Collins, CO 80525
Phone (970) 212-5367

430 N College Ave
Ste 470
Fort Collins, CO 80524
Phone (970) 212-5367

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1437034782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR UNIT 3B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253093",
            "telephone_number": "970-212-5367",
            "fax_number": "970-212-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR UNIT 3B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253093",
            "telephone_number": "970-212-5367",
            "fax_number": "970-212-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "970-212-5367"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000249165",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Care of the Rockies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.