Carole Anne Keim, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

53260 Issued in CO

Practice address

4985 Moorhead Ave Unit 3350
Boulder, CO 80307-4816

Phone

(720) 418-1705

NPI assigned

Aug 25, 2011

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744

  CO

  Medicare reassignment
• Lutheran Hospital Association of the San Luis Valley

  • Surgery Physician
  • Del Norte, CO
  • NPI 1851579262

  Pediatrics

  NPD
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Fort Morgan, CO
  • NPI 1881337392
  NPD (past)
• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckeim85841@tuftsmedicine.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2018.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1598045346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3350",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803073350",
            "telephone_number": "720-418-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 MOORHEAD AVE UNIT 3350",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803074816",
            "telephone_number": "720-418-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "CAROLE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "53260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Keeter, DPT, MHA
• John Christopher Kefer, MD PHD
• Benjamin J Keidan, MD
• Marybeth Keigher Mac., ACUPUNCTURE M.AC.
• Amanda Keim, LPC
• Amy Keleher, MA
• Sarah Keleher
• Donald Joseph Keller, MD
• Jessie Keller
• Kathryn Keller

• All providers in Boulder, CO
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.

Verify at the official NPI Registry.