Individual provider Active NPI

Kaitlyn Alise Gilman, M.D.

  • Surgery Physician
  • Aurora, CO
National Provider Identifier
1619110129
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0061354 Issued in CO
Practice address
13001 E. 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045-2559
Phone
(303) 724-6031
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X DR.0061354 CO Primary

Addresses

Primary practice location

13001 E. 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045-2559

Mailing address

13001 E. 17TH Place
University of Colordo Denver School of Medicine Gme
Aurora, CO 80045
Phone (303) 724-6031

Other practice location 1

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111

Other names 1

  • Catelyn Maree Khandelwal Gilman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061354COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 17, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 23, 2017 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Mark Twain Medical Center CurrentSince Jun 20, 2020 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 17, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 23, 2017 Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3116 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8742

3104 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8720

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 882-5730

702 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 754-0870

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

704 Mountain Ranch Rd
Ste 102
San Andreas, CA 95249
Phone (209) 754-2968

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1619110129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORDO DENVER SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO DENVER SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452559",
            "telephone_number": "303-724-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Mountain View Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013129",
            "country_code": "US",
            "telephone_number": "303-651-5111",
            "fax_number": "303-485-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "KAITLYN",
        "middle_name": "ALISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0061354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATELYN",
            "last_name": "KHANDELWAL GILMAN",
            "middle_name": "MAREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.