Individual provider Active NPI

Catherine M Van Kerckhove, MD

  • Specialist
  • Denver, CO
National Provider Identifier
1679545941
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35006 Issued in CO
Practice address
125 Rampart Way
Suite 200
Denver, CO 80230-6406
Phone
(720) 858-7600
Fax
(720) 858-7605
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35006 CO Primary

Addresses

Primary practice location

125 Rampart Way
Suite 200
Denver, CO 80230-6406

Mailing address

4 Sandy Lake Rd
Englewood, CO 80113-4140
Phone (303) 777-1551

Other identifiers 1

IdentifierTypeStateIssuer
01350065MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC Specialist CurrentSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC Specialist PastSince Jul 25, 2021 Accepting new patients

Locations

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

5920 S Estes St
Ste 120
Littleton, CO 80123
Phone (303) 971-0311

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1679545941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANDY LAKE RD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134140",
            "telephone_number": "303-777-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306406",
            "telephone_number": "720-858-7600",
            "fax_number": "720-858-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KERCKHOVE",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "35006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01350065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.