Individual provider Active NPI

Kevin Wayne Keefe, DO

  • Internal Medicine Physician
  • Loveland, CO
National Provider Identifier
1689663684
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44297 Issued in CO
Practice address
2923 Ginnala Dr
Loveland, CO 80538-2702
Phone
(970) 669-6660
Fax
(970) 669-1099
NPI assigned
Oct 21, 2005
Last updated
May 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02093 IA
Internal Medicine Physician 207R00000X 44297 CO Primary

Addresses

Primary practice location

2923 Ginnala Dr
Loveland, CO 80538-2702

Mailing address

1627 E 18TH St
Loveland, CO 80538-4209
Phone (970) 663-0135

Other identifiers 2

IdentifierTypeStateIssuer
77005848MedicaidCO
2246934MedicaidIA

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44297COMDInternal Medicine Physician
02093IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Clinic PC Past Accepting new patients
Big Thompson Medical Group Inc Internal Medicine Past Accepting new patients

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1689663684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384209",
            "telephone_number": "970-663-0135",
            "fax_number": "970-461-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 GINNALA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382702",
            "telephone_number": "970-669-6660",
            "fax_number": "970-669-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "02093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77005848",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2246934",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.