Organization Active NPI

Paula Kadison, MD PC

  • Internal Medicine Physician
  • Aspen, CO
National Provider Identifier
1528529732
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PAULA KADISON, MD PC
Doing business as
Kadison Medical Group
Practice address
100 E Main St Ste 2
Aspen, CO 81611-1780
Phone
(970) 379-1240
Fax
(970) 925-2597
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Paula Kadison, MDNPI 1992987838
Title
Owner
Phone
(970) 379-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 E Main St Ste 2
Aspen, CO 81611-1780

Mailing address

PO Box 481
Woody Creek, CO 81656-0481
Phone (970) 379-1240

Other identifiers 1

IdentifierTypeStateIssuer
48917OtherCOCOLORADO MEDICAL BOARD

Other names 1

  • Kadison Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190515000119 CO Part B Supplier - Clinic/Group Practice 5092058008 Receives reassigned benefits from 2 practitioners
Practice locations: Aspen, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2162995Kadison Medical Group, LLC100 East Main St, #2, Aspen, CO 81611Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

100 E Main St
Ste 2
Aspen, CO 81611
Phone (970) 379-1240

225 N Mill St
Ste 116
Aspen, CO 81611
Phone (970) 544-1234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1528529732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "WOODY CREEK",
            "state": "CO",
            "postal_code": "816560481",
            "telephone_number": "970-379-1240",
            "fax_number": "970-925-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST STE 2",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111780",
            "telephone_number": "970-379-1240",
            "fax_number": "970-925-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA KADISON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "KADISON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-379-1240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL BOARD",
            "identifier": "48917",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kadison Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.