Kyle Jacob Thompson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0059732 Issued in CO

Practice address

1750 E Ken Pratt Blvd FL 3
Longmont, CO 80504-5311

Phone

(720) 718-3930

Fax

(720) 718-0999

NPI assigned

Jun 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Surgery

Education

Medical College of Wisconsin, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Hospital Hospital, Denver, CO, CCN 060028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group NPD
• Platte Valley Medical Group, LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1922812593
  Medicare reassignment Care Compare group NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Surgery

  Medicare reassignment NPD
• Saint Joseph Hospital, Inc

  • Obstetrics & Gynecology Physician
  • Denver, CO
  • NPI 1154361350

  Surgery

  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Platte Valley Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Brighton, CO
  • NPI 1780208066
  NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1417946021
  NPD

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

• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1164071296
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1417946021
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Northglenn, CO
  • NPI 1427607464
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1619526746
  Care Compare affiliation

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1619382496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E KEN PRATT BLVD FL 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-3930",
            "fax_number": "720-718-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E KEN PRATT BLVD FL 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-3930",
            "fax_number": "720-718-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KYLE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0005394",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0059732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Thomas
• Teddy Ann Thomas
• Thompson Family Chiropractic LLC
• Jacob Thompson
• Jessica D Thompson, D.C.
• Sally Anne Thompson, C.M.T.
• Tad Michael Thompson, DC
• Meg Thornbury, LCSW
• Thornwood Wellness LLC
• Eric Thorpe, LCSW

• Surgery Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.