Individual provider Active NPI

Benji Kurt Kitagawa, DO

  • Emergency Medicine Physician
  • Greeley, CO
National Provider Identifier
1770685265
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30531 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 350-6244
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30531 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

1626 Montview Blvd
Greeley, CO 80631-5345
Phone (303) 956-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ND2 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
I20050223000479 CO Practitioner - Emergency MedicinePractitioner - Family Practice 8022061605 Reassigns benefits to 3 organizations
I20120904000603 ND Practitioner - Emergency Medicine 8022061605 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19021 US Hwy 285
La Jara, CO 81140-9410
Phone (719) 274-5121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
70.25
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
826NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Aug 6, 2025 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Sep 30, 2018 Accepting new patients
St Alexius Medical Center CurrentSince Jun 26, 2018 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Jul 1, 2022 Accepting new patients
Mercy Hospital of Devils Lake Emergency Medicine Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Sep 30, 2018 Accepting new patients
Prowers County Hospital District CurrentSince Oct 22, 2023 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Aug 6, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Jul 1, 2022 Accepting new patients
St. Alexius Medical Center CurrentSince Jun 26, 2018 Accepting new patients
Healthsource Partners ND LLC Emergency Medicine CurrentSince Jan 14, 2019 Accepting new patients
Precision Paramedic Services Inc PastSince Nov 7, 2014 Accepting new patients
Vail Clinic, Inc. Past Accepting new patients
Travis W. Martin, M.D. P.C. Emergency Medicine Past Accepting new patients
Altru Health System Past Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients
North Platte Nebraska Physician Group LLC Emergency Medicine Past Accepting new patients
VVMC Diversified Services Past Accepting new patients
Quantum Plus LLC Emergency Medicine Past Accepting new patients

Locations

2115 Stuart Ave
#A
Alamosa, CO 81101
Phone (719) 589-3000

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

3290 Solutions Ctr
Chicago, IL 60677

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1770685265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MONTVIEW BLVD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315345",
            "telephone_number": "303-956-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAGAWA",
        "first_name": "BENJI",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "30531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.