Individual provider Active NPI

Kimberly Dinh Ngo, M.D.

  • Anesthesiology Physician
  • Englewood, CO
National Provider Identifier
1487811238
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0050548 Issued in CO
Practice address
333 W Hampden Ave
Ste 600
Englewood, CO 80110-2330
Phone
(303) 761-5646
Fax
(720) 439-9500
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0050548 CO Primary
Pediatric Anesthesiology Physician 207LP3000X 50548 CO

Addresses

Primary practice location

333 W Hampden Ave
Ste 600
Englewood, CO 80110-2330

Mailing address

333 W Hampden Ave
Ste 600
Englewood, CO 80110-2330
Phone (303) 761-5646

Other identifiers 1

IdentifierTypeStateIssuer
10180231MedicaidCO

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
I20120906000464 CO Practitioner - Anesthesiology 6800043381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Presbyterian St Lukes Medical Cente
Denver, CO 80218-1235
Phone (303) 438-3999

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050548COMDAnesthesiology Physician
50548COMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Guardian Anesthesia Services, Inc Anesthesiology CurrentSince Jul 8, 2012 Accepting new patients
South Denver Anesthesiologists PC Anesthesiology Past Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

333 W Hampden Ave
Ste 600
Englewood, CO 80110
Phone (303) 761-5646

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1487811238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W HAMPDEN AVE",
            "address_2": "STE 600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102330",
            "telephone_number": "303-761-5646",
            "fax_number": "720-439-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W HAMPDEN AVE",
            "address_2": "STE 600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102330",
            "telephone_number": "303-761-5646",
            "fax_number": "720-439-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KIMBERLY",
        "middle_name": "DINH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "0050548",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CO",
            "license": "50548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10180231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.