Jerald Walter Koepke, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

DR.0020778 Issued in CO

Practice address

9331 S Colorado Blvd Ste 100
Highlands Ranch, CO 80126-7465

Phone

(303) 795-8177

Fax

(303) 797-2166

NPI assigned

Jan 31, 2006

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Littleton, CO
  • NPI 1689246274
  NPD
• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Brighton, CO
  • NPI 1992377675
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1477524957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-858-7550",
            "fax_number": "720-858-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267465",
            "telephone_number": "303-795-8177",
            "fax_number": "303-797-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 S Estes St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801238618",
            "country_code": "US",
            "telephone_number": "303-971-0311",
            "fax_number": "303-948-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Rampart Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306429",
            "country_code": "US",
            "telephone_number": "720-858-7550",
            "fax_number": "720-858-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "JERALD",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR.0020778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01207760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kirby, PTA
• John Knight, D.O.
• Shiloh Lynn Knoll, PT
• Danielle Lynne Kochery, DPT
• Caroline M Koehler
• Michelle Arra Koh, O.D.
• Christopher Michael Kolodzek, PT
• Andrijano Kolonic, MS, OTR/L, CHT
• Andrew Seungkyo Koo, M.D.
• Ryan C. Koonce, MD

• Allergy & Immunology Physician in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Allergy & Immunology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.