Individual provider Active NPI

David C Kelsall, MD

  • Otology & Neurotology Physician
  • Englewood, CO
National Provider Identifier
1538219969
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
28228 Issued in CO
Practice address
601 E Hampden Avenue
Suite 430
Englewood, CO 80113
Phone
(303) 783-9220
Fax
(303) 806-6292
NPI assigned
Jan 10, 2007
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 28228 CO Primary

Addresses

Primary practice location

601 E Hampden Avenue
Suite 430
Englewood, CO 80113

Mailing address

601 E Hampden Avenue
Suite 430
Englewood, CO 80113
Phone (303) 783-9220

Other identifiers 1

IdentifierTypeStateIssuer
01282284MedicaidCO

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
I20120503000635 CO Practitioner - Otolaryngology 6103819578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Colorado School of Medicine, Denver, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David C Kelsall MD PCGroup PAC ID 3476546847, 4 clinicians

Practice addresses (Care Compare)

601 E Hampden Ave
Suite 430
Englewood, CO 80113-2770
Phone (303) 783-9220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28228COMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C Kelsall MD PC Otology & Neurotology CurrentSince Sep 16, 2002 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

601 E Hampden Ave
Ste 430
Englewood, CO 80113
Phone (303) 783-9220

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1538219969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVENUE",
            "address_2": "SUITE 430",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-783-9220",
            "fax_number": "303-806-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVENUE",
            "address_2": "SUITE 430",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-783-9220",
            "fax_number": "303-806-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSALL",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CO",
            "license": "28228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282284",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.