Active NPI
Katherine S. Dahab, M.D.
- Pediatrics Physician
- Denver, CO
National Provider Identifier
1750436622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50128
- Practice address
- 4500 E. 9TH Ave
Suite 300
Denver, CO 80220 - Phone
- (720) 941-1778
- Fax
- (720) 941-1783
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | 50128 | CO | |
| Pediatrics Physician | 208000000X | 50128 | CO | Primary |
Addresses
Primary practice location
4500 E. 9TH Ave
Suite 300
Denver, CO 80220
Mailing address
4500 E. 9TH Ave
Suite 300
Denver, CO 80220
Phone (303) 493-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37925768 | Medicaid | CO | |
| 417392900 | Medicaid | MD |
Other names 1
- Dr. Katherine Emma Stabenow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50128 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Sapphire Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Interoperability endpoints
- kdahab41091@direct.childrenscolorado.org
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1750436622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E. 9TH AVE",
"address_2": "SUITE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E. 9TH AVE",
"address_2": "SUITE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "720-941-1778",
"fax_number": "720-941-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHAB",
"first_name": "KATHERINE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "CO",
"license": "50128",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "50128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37925768",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417392900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "STABENOW",
"middle_name": "EMMA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former 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 Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.