Individual provider Active NPI

Kyle Fitzgerald Cox, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Boulder, CO
National Provider Identifier
1457794935
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
DR.006544 Issued in CO
Practice address
2897 Valmont Rd Ste 100
Boulder, CO 80301-1341
Phone
(303) 590-3589
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME137157 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X DR.006544 CO Primary

Addresses

Primary practice location

2897 Valmont Rd Ste 100
Boulder, CO 80301-1341

Mailing address

2897 Valmont Rd Ste 100
Boulder, CO 80301-1341
Phone (303) 590-3589

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
I20210304002364 CO Practitioner - Ophthalmology 5597035857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2897 Valmont Rd
Suite 100
Boulder, CO 80301-1341
Phone (303) 590-3589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.006544COMDOphthalmic Plastic and Reconstructive Surgery Physician
ME137157FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgery Ophthalmic Plastic and Reconstructive Surgery CurrentSince Sep 1, 2022 Accepting new patients
James Lee MD PC CurrentSince Apr 1, 2021 Accepting new patients

Locations

2897 Valmont Rd
Ste 100
Boulder, CO 80301
Phone (303) 444-1914

9320 Grand Cordera Pkwy
#25
Colorado Springs, CO 80924
Phone (719) 258-1240

9320 Grand Cordera Pkwy
Ste 255
Colorado Springs, CO 80924
Phone (719) 258-1240

Organizations & group practices 2

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1457794935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2897 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011341",
            "telephone_number": "303-590-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 VALMONT RD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011341",
            "telephone_number": "303-590-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "KYLE",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME137157",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.006544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.