Individual provider Active NPI

Tesia Kolodziejczyk, DO

  • Dermatology Physician
  • Littleton, CO
National Provider Identifier
1740867316
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0074615 Issued in CO
Practice address
8089 S Lincoln St Ste 300
Littleton, CO 80122-2721
Phone
(720) 851-5200
NPI assigned
Mar 28, 2021
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X DR.0074615 CO Primary

Addresses

Primary practice location

8089 S Lincoln St Ste 300
Littleton, CO 80122-2721

Mailing address

15070 E Coachman Dr
Colorado Springs, CO 80908-2204
Phone (719) 231-4025

Other practice location 1

5333 McAuley Drive
Suite 4001
Ypsilanti, MI 48197-8633
Phone (734) 712-3980

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105003364 CO Practitioner - Dermatology 6204238892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rocky Vista University College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Dermatology and Skin Cancer Surgery Center PCGroup PAC ID 6800164575, 7 clinicians

Practice addresses (Care Compare)

8089 S Lincoln St
Suite 300
Littleton, CO 80122-2721
Phone (720) 851-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074615COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Dermatology and Skin Cancer Surgery Center, PC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Elevated Dermatology and Skin Cancer Surgery Center, PC Dermatology CurrentSince Jun 23, 2025 Accepting new patients

Locations

8089 S Lincoln St
Ste 300
Littleton, CO 80122
Phone (720) 851-5200

10345 Parkglenn Way
Ste 100
Parker, CO 80138
Phone (720) 851-5200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1740867316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15070 E COACHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082204",
            "telephone_number": "719-231-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222721",
            "telephone_number": "720-851-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 McAuley Drive",
            "address_2": "Suite 4001",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978633",
            "country_code": "US",
            "telephone_number": "734-712-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLODZIEJCZYK",
        "first_name": "TESIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0074615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.