Individual provider Active NPI

Daniel Abram Kinderlehrer, MD

  • Internal Medicine Physician
  • Boulder, CO
National Provider Identifier
1629131974
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47104 Issued in CO
Practice address
2975 13TH St
Boulder, CO 80304-3101
Phone
(303) 444-4877
Fax
(303) 440-7639
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20020411 NM
Internal Medicine Physician 207R00000X 47104 CO Primary

Addresses

Primary practice location

2975 13TH St
Boulder, CO 80304-3101

Mailing address

2975 13TH St
Boulder, CO 80304-3101
Phone (303) 444-4877

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 16, 2013 through Jun 16, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47104COMDInternal Medicine Physician
20020411NMMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1629131974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 13TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043101",
            "telephone_number": "303-444-4877",
            "fax_number": "303-440-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 13TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043101",
            "telephone_number": "303-444-4877",
            "fax_number": "303-440-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDERLEHRER",
        "first_name": "DANIEL",
        "middle_name": "ABRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20020411",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.