Individual provider Active NPI

Kell T Giffin

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1639476260
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007617 Issued in VA
Practice address
24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387
Phone
(303) 330-0410
Fax
(303) 330-0732
NPI assigned
Feb 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007617 VA Primary

Addresses

Primary practice location

24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

930 Holcomb St
Watertown, NY 13601-4228
Phone (315) 772-8098

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000891 CO Practitioner - Physician Assistant 8123253101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians

Practice addresses (Care Compare)

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

9205 S Broadway
Highlands Ranch, CO 80129-5631
Phone (303) 330-0271

9695 S Yosemite St
Suite 150
Lone Tree, CO 80124-2891
Phone (720) 255-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016386NYMDOccupational Therapist
0110007617VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Feb 1, 2025 Accepting new patients
Medventures, PLLC CurrentSince Jan 28, 2025 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Feb 1, 2025 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

7280 Lagae Rd
Ste I
Castle Pines, CO 80108
Phone (303) 814-0505

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

Interoperability endpoints

  • Direct secure messaging: kell.giffin.1@9821.direct.athenahealth.com
  • Direct secure messaging: kell.giffin.2@9821.direct.athenahealth.com

Organizations & group practices 4

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1639476260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "303-330-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 E SMOKY HILL RD UNIT 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161387",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Holcomb St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014228",
            "country_code": "US",
            "telephone_number": "315-772-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFIN",
        "first_name": "KELL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.