Individual provider Active NPI

Kenneth J Wool, M.D.

  • Cardiovascular Disease Physician
  • Salida, CO
National Provider Identifier
1720085319
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
61322 Issued in CO
Practice address
1000 Rush Dr
Salida, CO 81201-9627
Phone
(719) 530-2000
NPI assigned
Jun 28, 2005
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 61322 CO Primary

Addresses

Primary practice location

1000 Rush Dr
Salida, CO 81201-9627

Mailing address

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2000

Other practice location 1

2222 N Nevada Ave Ste 4007
Colorado Springs, CO 80907-6863
Phone (716) 776-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cardiology@hrrmcmedicalclinics.ssdirect.aprima.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050215000562 AL Practitioner - Cardiovascular Disease (Cardiology) 0840252771 Reassigns benefits to 1 organization
I20181217000947 CO Practitioner - Cardiovascular Disease (Cardiology) 0840252771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Alabama College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

704 Edwards Ave
Westcliffe, CO 81252-8588
Phone (719) 530-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61322COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Internal Medicine CurrentSince Jun 21, 2013 Accepting new patients
Salida Hospital District CurrentSince Jan 5, 2020 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 21, 2013 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Salida Hospital District CurrentSince Jan 5, 2020 Accepting new patients
Salida Hospital District Internal Medicine Current Accepting new patients
Alabama Vascular Specialists, PC PastSince Jun 1, 2022 Accepting new patients
Salida Hospital District Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

704 Edwards Ave
Westcliffe, CO 81252
Phone (719) 545-1607

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.372198

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1720085319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave Ste 4007",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076863",
            "country_code": "US",
            "telephone_number": "716-776-8500",
            "fax_number": "719-776-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOL",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "61322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardiology@hrrmcmedicalclinics.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.