Individual provider Active NPI

David Alan Kornhauser, DO

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1649202896
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0024705 Issued in CO
Practice address
2490 W 26TH Ave
Ste A120
Denver, CO 80211-5314
Phone
(303) 925-4580
Fax
(303) 925-4581
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27697 WI
Family Medicine Physician 207Q00000X DR.0024705 CO Primary

Addresses

Primary practice location

2490 W 26TH Ave
Ste A120
Denver, CO 80211-5314

Mailing address

2490 W 26TH Ave
Ste A120
Denver, CO 80211-5314
Phone (303) 925-4580

Other identifiers 3

IdentifierTypeStateIssuer
30755700MedicaidWI
P00449639OtherWIRR MEDICARE
41750071MedicaidCO

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 1, 2015 Accepting new patients
Advanced Healthcare SC Family Medicine Past Accepting new patients

Locations

950 E Harvard Ave
Ste 530
Denver, CO 80210
Phone (303) 765-3484

950 E Harvard Ave
Ste 200
Denver, CO 80210
Phone (303) 649-3200

2490 W 26th Ave
Ste 120A
Denver, CO 80211
Phone (303) 433-8800

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1649202896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "STE A120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-925-4580",
            "fax_number": "303-925-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "STE A120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-925-4580",
            "fax_number": "303-925-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNHAUSER",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "27697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0024705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30755700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00449639",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41750071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.