Individual provider Active NPI

Masroor U Kakakhel, MD

  • Pediatrics Physician
  • Greeley, CO
National Provider Identifier
1760480453
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37532 Issued in CO
Practice address
100 N 11TH Ave
Greeley, CO 80631-2011
Phone
(970) 352-8898
Fax
(970) 351-7075
NPI assigned
Jul 7, 2005
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37532 CO Primary

Addresses

Primary practice location

100 N 11TH Ave
Greeley, CO 80631-2011

Mailing address

2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403

Other identifiers 1

IdentifierTypeStateIssuer
11133741MedicaidCO

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
I20051206000323 CO Practitioner - Pediatric Medicine 2062432032 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37532COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Community Health CurrentSince Jan 1, 1999 Accepting new patients
Sunrise Community Health CurrentSince Jan 1, 1999 Accepting new patients
Sunrise Community Health Current Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

100 N 11th Ave
Greeley, CO 80631
Phone (970) 347-2384

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

Interoperability endpoints

  • Direct secure messaging: masroor.kakakhel.1@27043.direct.athenahealth.com

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, 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1760480453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312011",
            "telephone_number": "970-352-8898",
            "fax_number": "970-351-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAKHEL",
        "first_name": "MASROOR",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "37532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11133741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.