Individual provider Active NPI

Ermin Kreso, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1679584916
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45223 Issued in CO
Practice address
496 S Dayton St
Suite C
Denver, CO 80247-6929
Phone
(303) 341-5280
Fax
(303) 341-7163
NPI assigned
Aug 11, 2006
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45223 CO Primary

Addresses

Primary practice location

496 S Dayton St
Suite C
Denver, CO 80247-6929

Mailing address

165 S Syracuse St
Denver, CO 80230-6981
Phone (303) 341-5280

Other identifiers 2

IdentifierTypeStateIssuer
260267229005OtherCOROCKY MOUNTAIN HEALTH PLAN
68051336MedicaidCO

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
I20100518000843 CO Practitioner - Internal Medicine 8527197250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

496 S Dayton St
Suite C
Denver, CO 80247-1310
Phone (303) 596-4861

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
Kreso Medical LLC CurrentSince Mar 6, 2013 Accepting new patients
Front Range Primary Care Partners LLC Past Accepting new patients

Locations

496 S Dayton St
Ste C
Denver, CO 80247
Phone (303) 341-5280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1679584916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S SYRACUSE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306981",
            "telephone_number": "303-341-5280",
            "fax_number": "303-341-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 S DAYTON ST",
            "address_2": "SUITE C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476929",
            "telephone_number": "303-341-5280",
            "fax_number": "303-341-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESO",
        "first_name": "ERMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLAN",
            "identifier": "260267229005",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68051336",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.