Individual provider Active NPI

William F. Kinn Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Colorado Springs, CO
National Provider Identifier
1679590210
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
CO37627 Issued in CO
Practice address
1400 E Boulder St
Memorial Hospital Pathology
Colorado Springs, CO 80909-5533
Phone
(719) 365-5808
Fax
(719) 365-6908
NPI assigned
Jul 17, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X CO37627 CO Primary

Addresses

Primary practice location

1400 E Boulder St
Memorial Hospital Pathology
Colorado Springs, CO 80909-5533

Mailing address

1400 E Boulder St
Memorial Hospital Pathology
Colorado Springs, CO 80909-5533
Phone (719) 365-5808

Other identifiers 3

IdentifierTypeStateIssuer
22357343MedicaidCO
C037627OtherCOSTATE LICENSE
P00367434OtherCORAILROAD MEDICARE

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
I20060921000642 CO Practitioner - Pathology 4789689902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
93.43
Promoting interoperability
100
Improvement activities
40
Cost
74.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO37627COMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assoc in Gastroenterology, PC CurrentSince Apr 18, 2018 Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC CurrentSince Jan 1, 2018 Accepting new patients
Associates in Gastroenterology, P.C. CurrentSince Apr 18, 2018 Accepting new patients
Memorial Health System Past Accepting new patients

Locations

7346 S Alton Way
Ste 10-D
Centennial, CO 80112
Phone (303) 220-4369

7346 S Alton Way
Ste 10-L
Centennial, CO 80112
Phone (303) 770-4848

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

6031 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 635-7321

3333 S Wadsworth Blvd
Ste 100
Lakewood, CO 80227

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1679590210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "address_2": "MEMORIAL HOSPITAL PATHOLOGY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5808",
            "fax_number": "719-365-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "address_2": "MEMORIAL HOSPITAL PATHOLOGY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5808",
            "fax_number": "719-365-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINN",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "CO37627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22357343",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C037627",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00367434",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.