Individual provider Active NPI

George Edward Kalousek, M.D.

  • Specialist
  • Westminster, CO
National Provider Identifier
1447251244
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22271 Issued in CO
Practice address
8120 Sheridan Blvd
A-211
Westminster, CO 80003-6104
Phone
(303) 426-6151
NPI assigned
Aug 3, 2005
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22271 CO Primary

Addresses

Primary practice location

8120 Sheridan Blvd
A-211
Westminster, CO 80003-6104

Mailing address

11287 Ranch PL
Westminster, CO 80234-2626
Phone (303) 426-6151

Other identifiers 1

IdentifierTypeStateIssuer
01222710MedicaidCO

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

LicenseStateTypeSpecialty
22271COMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1447251244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11287 RANCH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342626",
            "telephone_number": "303-426-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD",
            "address_2": "A-211",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036104",
            "telephone_number": "303-426-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOUSEK",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "22271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01222710",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.