Keith Kapatkin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR.0061666 Issued in CO

Practice address

104 Pro Rodeo Dr Ste 100
Colorado Springs, CO 80919-2334

Phone

(719) 522-0707

Fax

(719) 262-9495

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Knoxville Kidney Center, PLLC

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1306864186
  Medicare reassignment NPD

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1689670655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 E WOODMEN RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208075",
            "telephone_number": "719-632-4455",
            "fax_number": "719-633-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRO RODEO DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192334",
            "telephone_number": "719-522-0707",
            "fax_number": "719-262-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPATKIN",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD56380",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0061666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067672100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pongdanai Kangtan
• Adrienne Marie Kania, DO
• Brianna Kanin, LMT
• Roy Alan Kanter, M.D.
• Corey Allen Kapalo
• Daniel Arthur Kapff, PT
• Heather Leigh Kapff, PT
• Matthew Kaplan
• Michelle Nicole Kaplan
• Aleksandr M Kaplun, PAC

• Internal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.