Active NPI
Kamal Lazar, DO
- Family Medicine Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0073760
- Practice address
- 4112 Outlook Blvd Ste 303
Pueblo, CO 81008-1667 - Phone
- (719) 557-8600
- Fax
- (719) 557-8615
- NPI assigned
- Mar 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0073760 | CO | Primary |
Addresses
Primary practice location
4112 Outlook Blvd Ste 303
Pueblo, CO 81008-1667
Mailing address
902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855
Other practice location 1
200 Mullins Dr
Lebanon, OR 97355-3983
Phone (541) 259-0200
Other practice location 2
902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4112 Outlook Blvd
Suite 303
Pueblo, CO 81008-1667
Phone (719) 557-8600
Hospital & facility affiliations
- St Mary-Corwin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0073760 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Western University of Health Sciences | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
902 Lakeview Ave
Pueblo, CO 81004
Phone (719) 557-5855
4112 Outlook Blvd
Ste 303
Pueblo, CO 81008
Phone (719) 557-8600
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
CO
-
- Hospitalist Physician
- Longmont, CO
- NPI 1871119735
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
-
- Adult Medicine Physician
- Lebanon, OR
- NPI 1639555170
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1699277889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 LAKEVIEW AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043597",
"telephone_number": "719-557-5855",
"fax_number": "719-557-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD STE 303",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667",
"telephone_number": "719-557-8600",
"fax_number": "719-557-8615"
}
],
"practiceLocations": [
{
"address_1": "200 Mullins Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973553983",
"country_code": "US",
"telephone_number": "541-259-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043597",
"country_code": "US",
"telephone_number": "719-557-5855",
"fax_number": "719-557-5097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZAR",
"first_name": "KAMAL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0073760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.