NPIMap

Individual provider Active NPI

Kevin Johnston Blue

  • Podiatrist
  • Parker, CO
National Provider Identifier
1740508886
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
752 Issued in CO
Practice address
19284 Cottonwood Dr Ste 201B
Parker, CO 80138-3881
Phone
(720) 822-0735
Fax
(866) 214-1528
NPI assigned
May 13, 2010
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 752 CO Primary

Addresses

Primary practice location

19284 Cottonwood Dr Ste 201B
Parker, CO 80138-3881

Mailing address

19284 Cottonwood Dr Ste 201B
Parker, CO 80138-3881
Phone (720) 822-0735

Other practice location 1

8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304002095 CO Practitioner - Podiatry 4486898608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6235 S Main St
Suite 101
Aurora, CO 80016-5373
Phone (303) 344-9090

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue12
Removal of nail tissue17
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
752COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Foot and Ankle Sports Medicine, LLC Podiatrist CurrentSince Feb 3, 2017 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince May 1, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Podiatrist CurrentSince May 1, 2025 Accepting new patients
Washington Foot and Ankle Sports Medicine PLLC PastSince Jan 1, 2003 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

6235 S Main St
Ste 101
Aurora, CO 80016
Phone (303) 785-7928

8101 E Lowry Blvd
Ste 230
Denver, CO 80230
Phone (303) 962-3926

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

11960 Lioness Way
Ste 260
Parker, CO 80134
Phone (303) 214-4500

19284 Cottonwood Dr
Ste 201B
Parker, CO 80138
Phone (720) 822-0735

Organizations & group practices 4

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 7

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1740508886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 201B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "720-822-0735",
            "fax_number": "866-214-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 201B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "720-822-0735",
            "fax_number": "866-214-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "KEVIN",
        "middle_name": "JOHNSTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.