Individual provider Active NPI

Kimberly Margot Neyman, M.D.

  • Dermatology Physician
  • Wheat Ridge, CO
National Provider Identifier
1447428305
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
UNKNOWN Issued in CO
Practice address
3555 Lutheran Pkwy Ste 360
Wheat Ridge, CO 80033-6032
Phone
(303) 431-5280
Fax
(303) 422-2002
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X DR.0051289 CO
Dermatopathology Physician 207ND0900X DR.0051289 CO
Dermatology Physician 207N00000X UNKNOWN CO Primary

Addresses

Primary practice location

3555 Lutheran Pkwy Ste 360
Wheat Ridge, CO 80033-6032

Mailing address

3555 Lutheran Pkwy Ste 360
Wheat Ridge, CO 80033-6032
Phone (303) 431-5280

Other practice location 1

13701 E Mississippi Ave Ste 320
Aurora, CO 80012-6142
Phone (303) 340-3378

Other practice location 2

13701 E Mississippi Ave Ste 320
Aurora, CO 80012-6142
Phone (303) 340-3378

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120716000452 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8729256896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Dermatology LLCGroup PAC ID 7911265160, 3 clinicians

Practice addresses (Care Compare)

3555 Lutheran Pkwy
Suite 360
Wheat Ridge, CO 80033-6032
Phone (303) 431-5280

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions358
Removal of skin cancer87
Skin biopsy88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
UNKNOWNCOMDDermatology Physician
DR.0051289COMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Dermatology LLC Dermatology CurrentSince Sep 25, 2017 Accepting new patients
Colorado Center for Arthritis and Osteoporosis CurrentSince Feb 1, 2018 Accepting new patients
Advanced Dermatology of Colorado, PC Dermatology Past Accepting new patients

Locations

3464 S Willow St
Ste 480
Denver, CO 80231

264 Union Blvd
Ste 100
Lakewood, CO 80228
Phone (303) 431-5280

3555 Lutheran Pkwy
Ste 360
Wheat Ridge, CO 80033
Phone (303) 431-5280

3555 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 422-6043

Interoperability endpoints

  • Direct secure messaging: kimberly.neymanmd.p46@direct.newportmed.nextgenshare.com
  • Direct secure messaging: kimberly.neymanmd.p42@direct.newportmed.nextgenshare.com

Organizations & group practices 3

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1447428305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 360",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336032",
            "telephone_number": "303-431-5280",
            "fax_number": "303-422-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 360",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336032",
            "telephone_number": "303-431-5280",
            "fax_number": "303-422-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13701 E Mississippi Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800126142",
            "country_code": "US",
            "telephone_number": "303-340-3378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13701 E Mississippi Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800126142",
            "country_code": "US",
            "telephone_number": "303-340-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEYMAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARGOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0051289",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "DR.0051289",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.