NPIMap

Individual provider Active NPI

Kem Su Hor, M.D.

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1629155205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
39335 Issued in CO
Practice address
160 W Fillmore St
Colorado Springs, CO 80907-6155
Phone
(719) 636-1299
Fax
(719) 636-9166
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 39335 CO Primary

Addresses

Primary practice location

160 W Fillmore St
Colorado Springs, CO 80907-6155

Mailing address

PO Box 15497
Colorado Springs, CO 80935-5497
Phone (719) 473-4030

Other identifiers 2

IdentifierTypeStateIssuer
HOA65018OtherCOBLUE SHIELD
83836870MedicaidCO

Other names 1

  • Michelle Hor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000471 CO Practitioner - GastroenterologyPractitioner - Internal Medicine 5698874196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 W Fillmore St
Colorado Springs, CO 80907-6155
Phone (719) 636-1299

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Longmont United Hospital Hospital, Longmont, CO, CCN 060003
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39335COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Harbison MDPC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kem.hor@sgi.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629155205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15497",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809355497",
            "telephone_number": "719-473-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076155",
            "telephone_number": "719-636-1299",
            "fax_number": "719-636-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOR",
        "first_name": "KEM",
        "middle_name": "SU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "39335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HOA65018",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83836870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HOR",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.