NPIMap

Organization Active NPI

Kidney Associates of Colorado

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1699961979
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23822 Issued in CO
Legal business name
KIDNEY ASSOCIATES OF COLORADO
Practice address
850 E Harvard Ave
Suite 565
Denver, CO 80210-5073
Phone
(303) 777-3333
Fax
(303) 733-4441
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Aileen M Marquez
Title
Credentialing
Phone
(303) 908-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 23822 CO Primary

Addresses

Primary practice location

850 E Harvard Ave
Suite 565
Denver, CO 80210-5073

Mailing address

850 E Harvard Ave
Suite 565
Denver, CO 80210-5073
Phone (303) 777-3333

Other identifiers 2

IdentifierTypeStateIssuer
1699961979OtherCOGROUP NPI
58405038MedicaidCO

Other names 2

  • dba: Kidney Associates of Colorado Doing business as
  • Melissa Yanover M.D. PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000639 CO Part B Supplier - Clinic/Group Practice 6002902343 Receives reassigned benefits from 7 practitioners
Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1092700Kidney Associates of Colorado850 East Harvard Ave, Suite 565, Denver, CO 80210Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

850 E Harvard Ave
Ste 565
Denver, CO 80210
Phone (303) 777-3333

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1699961979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 565",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-777-3333",
            "fax_number": "303-733-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 565",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-777-3333",
            "fax_number": "303-733-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY ASSOCIATES OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-908-4712"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "23822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1699961979",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58405038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba: Kidney Associates of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba: Kidney Associates of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Yanover M.D. PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.