Active NPI
Michael Kuskie, MD
- Pediatrics Physician
- Colorado Springs, CO
National Provider Identifier
1558314872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35973
- Practice address
- 3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090 - Phone
- (719) 598-4588
- Fax
- (719) 594-4067
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35973 | CO | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | 35973 | CO |
Addresses
Primary practice location
3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090
Mailing address
3470 Centennial Blvd
Suite 205
Colorado Springs, CO 80907-4090
Phone (719) 598-4588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01359736 | 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 |
|---|---|---|---|
| 35973 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1558314872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 CENTENNIAL BLVD",
"address_2": "SUITE 205",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074090",
"telephone_number": "719-598-4588",
"fax_number": "719-594-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3470 CENTENNIAL BLVD",
"address_2": "SUITE 205",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074090",
"telephone_number": "719-598-4588",
"fax_number": "719-594-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSKIE",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "35973",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CO",
"license": "35973",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01359736",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.