Active NPI
Stephen E Kesselman, MD
- Ophthalmology Physician
- Aurora, CO
National Provider Identifier
1578621017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20203
- Practice address
- 750 Potomac St Ste 223
Aurora, CO 80011-6744 - Phone
- (303) 777-3277
- Fax
- (303) 751-5850
- NPI assigned
- Dec 5, 2006
- Last updated
- Sep 14, 2023
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20203 | CO | Primary |
Addresses
Primary practice location
750 Potomac St Ste 223
Aurora, CO 80011-6744
Mailing address
750 Potomac St Ste 223
Aurora, CO 80011-6744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01202035 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20203 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Stephen Kesselman MD PC | Current | Accepting new patients | |
| Aurora Eye Physicians PC | Ophthalmology | Past | Accepting new patients |
Locations
1550 S Potomac St
Ste 240
Aurora, CO 80012
Phone (303) 751-1272
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Aurora, CO
- NPI 1669637716
-
dba Burcham Eyecare Center
- Ophthalmology Physician
- Aurora, CO
- NPI 1720044746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1578621017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 POTOMAC ST STE 223",
"city": "AURORA",
"state": "CO",
"postal_code": "800116744",
"fax_number": "303-751-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 POTOMAC ST STE 223",
"city": "AURORA",
"state": "CO",
"postal_code": "800116744",
"telephone_number": "303-777-3277",
"fax_number": "303-751-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSELMAN",
"first_name": "STEPHEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "20203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01202035",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.