Individual provider Active NPI

Cynthia M Kelly, M.D.

  • Orthopaedic Surgery Physician
  • Denver, CO
National Provider Identifier
1487635173
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34692 Issued in CO
Practice address
1601 E 19TH Ave
Suite 3300
Denver, CO 80218-1216
Phone
(303) 837-0072
Fax
(303) 837-0075
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34692 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 3300
Denver, CO 80218-1216

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 837-0072

Other identifiers 4

IdentifierTypeStateIssuer
115017100MedicaidWY
1245556091MedicaidNE
28887280MedicaidNM
01346923MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CYNTHIA.KELLY@hca3.eclinicaldirectplus.com

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
I20050314000302 CO Practitioner - Orthopedic Surgery 4981659935 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34692COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services Orthopedic Specialists LLC Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Colorado Orthopedic Specialists Past Accepting new patients
CK Leasing, LLC PastSince Dec 1, 2007 Accepting new patients

Locations

4900 S Monaco St
Ste 210
Denver, CO 80237

1601 E 19th Ave
Ste 3300
Denver, CO 80218

701 E Hampden Ave
Ste 5
Englewood, CO 80113
Phone (303) 209-2503

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1487635173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-837-0072",
            "fax_number": "303-837-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 3300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-837-0072",
            "fax_number": "303-837-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "34692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115017100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245556091",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28887280",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346923",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CYNTHIA.KELLY@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1601 E 19th Ave",
            "address_2": "SUITE 3300",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.