Active NPI
Gail Kiefer, M.D.
- Anesthesiology Physician
- Denver, CO
National Provider Identifier
1457364630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036066211
- Practice address
- 1277 S Gaylord St
Denver, CO 80210-1828 - Phone
- (720) 941-5567
- Fax
- (720) 941-4102
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036066211 | IL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 036066211 | IL |
Addresses
Primary practice location
1277 S Gaylord St
Denver, CO 80210-1828
Mailing address
1277 S Gaylord St
Denver, CO 80210-1828
Phone (720) 941-5567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70674361 | Medicaid | CO | |
| 036066211 | Medicaid | IL |
Other names 1
- Gail Kiefer Lucks
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036066211 | IL | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1457364630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 S GAYLORD ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802101828",
"telephone_number": "720-941-5567",
"fax_number": "720-941-4102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 S GAYLORD ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802101828",
"telephone_number": "720-941-5567",
"fax_number": "720-941-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "GAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036066211",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036066211",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70674361",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036066211",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GAIL",
"last_name": "LUCKS",
"middle_name": "KIEFER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.