Active NPI
Edward N Kesselman, M.D.
- Pediatrics Physician
- Littleton, CO
National Provider Identifier
1508905902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20774
- Practice address
- 5257 S Wadsworth Blvd
Littleton, CO 80123-2228 - Phone
- (303) 972-5493
- Fax
- (303) 972-5356
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20774 | CO | Primary |
Addresses
Primary practice location
5257 S Wadsworth Blvd
Littleton, CO 80123-2228
Mailing address
5257 S Wadsworth Blvd
Littleton, CO 80123-2228
Phone (303) 972-5493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001292 | Other | KAISER-COMMERCIAL NUMBER | |
| 01207745 | Medicaid | CO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20774 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1508905902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5257 S WADSWORTH BLVD",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232228",
"telephone_number": "303-972-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 S WADSWORTH BLVD",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232228",
"telephone_number": "303-972-5493",
"fax_number": "303-972-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSELMAN",
"first_name": "EDWARD",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "20774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "001292",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01207745",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.