Individual provider Active NPI

Kenneth A Morris, M.D., PH.D.

  • Neurology Physician
  • Loveland, CO
National Provider Identifier
1770967408
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0064226 Issued in CO
Practice address
2695 Rocky Mountain Ave Ste 200
Loveland, CO 80538-9075
Phone
(970) 667-7664
Fax
(970) 622-9843
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.067875 IL
Neurology Physician 2084N0400X 61147 MN
Neurology Physician 2084N0400X 12949A WY
Neurology Physician 2084N0400X DR.0064226 CO Primary

Addresses

Primary practice location

2695 Rocky Mountain Ave Ste 200
Loveland, CO 80538-9075

Mailing address

2695 Rocky Mountain Ave Ste 200
Loveland, CO 80538-9075
Phone (970) 667-7664

Other identifiers 1

IdentifierTypeStateIssuer
9000182442MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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
I20200714000258 CO Practitioner - Neurology 0547555799 Reassigns benefits to 2 organizations
I20230329002474 WY Practitioner - Neurology 0547555799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, shared by 2 NPIs, 2,425 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

2695 Rocky Mountain Ave
Loveland, CO 80538-8702
Phone (970) 495-8490

5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone (307) 634-1311

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.067875ILMDInternal Medicine Physician
DR.0064226COMDNeurology Physician
61147MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center CurrentSince Oct 31, 2020 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 10, 2020 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 10, 2020 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2315 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 212-7600

6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Ste 2300
Loveland, CO 80538
Phone (970) 203-7150

2695 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 495-8490

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

5050 Powderhouse Rd
Cheyenne, WY 82009
Phone (307) 634-1311

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 5

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1770967408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389075",
            "telephone_number": "970-667-7664",
            "fax_number": "970-622-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389075",
            "telephone_number": "970-667-7664",
            "fax_number": "970-622-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.067875",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "61147",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WY",
            "license": "12949A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0064226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000182442",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.