Individual provider Active NPI

Kimberly Kaye Bezdek Benage, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1629184429
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0042889 Issued in CO
Practice address
1701 W 72ND Avenue
Denver, CO 80221-2721
Phone
(303) 650-4460
Fax
(720) 565-4128
NPI assigned
Aug 22, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0042889 CO Primary

Addresses

Primary practice location

1701 W 72ND Avenue
Denver, CO 80221-2721

Mailing address

1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Phone (303) 665-3036

Other practice location 1

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 430-5560

Other identifiers 1

IdentifierTypeStateIssuer
65627229MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.bezdekbenage.p4@direct.clinicafamilyhealth.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061120000570 CO Practitioner - Family Practice 9537175575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 430-5560

5730 Ward Rd
Suite 102
Arvada, CO 80002-1300
Phone (303) 422-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care , PC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Aug 1, 2007 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 14, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 14, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

1701 W 72nd Ave
Denver, CO 80221

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

3520 W 92nd Ave
Ste 104
Westminster, CO 80031
Phone (303) 429-6600

7280 Irving St
Ste 302C
Westminster, CO 80030
Phone (303) 429-1508

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: kimberly.benage.1@15135.direct.athenahealth.com
  • Direct secure messaging: kimberly.bezdekbenage.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 7

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1629184429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 203",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 72ND AVENUE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212721",
            "telephone_number": "303-650-4460",
            "fax_number": "720-565-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "303-430-5560",
            "fax_number": "303-430-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEZDEK BENAGE",
        "first_name": "KIMBERLY",
        "middle_name": "KAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0042889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65627229",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.bezdekbenage.p4@direct.clinicafamilyhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1701 W 72nd Avenue",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802212721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.