Individual provider Active NPI

Katherine R Kloberdanz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Littleton, CO
National Provider Identifier
1780143925
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000894 Issued in CO
Practice address
8151 Southpark LN Unit 250
Littleton, CO 80120-4534
Phone
(720) 662-7184
Fax
(720) 662-7616
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5951001219 MI
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000894 CO Primary

Addresses

Primary practice location

8151 Southpark LN Unit 250
Littleton, CO 80120-4534

Mailing address

8151 Southpark LN Unit 250
Littleton, CO 80120-4534
Phone (720) 662-7184

Other practice location 1

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-8004

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000555 CO Practitioner - Podiatry 3476880865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8151 Southpark LN
Unit 250
Littleton, CO 80120-4534
Phone (720) 662-7184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue34
Removal of skin lesions11
Removal of nail tissue305
Removal or shaving of skin growth110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Podiatry PLLC Podiatrist CurrentSince Jun 1, 2022 Accepting new patients
Front Range Podiatry PLLC Podiatrist CurrentSince Apr 6, 2023 Accepting new patients

Locations

8151 Southpark Ln
Unit 250
Littleton, CO 80120
Phone (303) 416-5704

11960 Lioness Way
Ste 120
Parker, CO 80134
Phone (303) 817-3527

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26419/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCEDD/Endpoint/DGCEDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1780143925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 SOUTHPARK LN UNIT 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204534",
            "telephone_number": "720-662-7184",
            "fax_number": "720-662-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 SOUTHPARK LN UNIT 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204534",
            "telephone_number": "720-662-7184",
            "fax_number": "720-662-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Biddle Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481924668",
            "country_code": "US",
            "telephone_number": "734-246-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOBERDANZ",
        "first_name": "KATHERINE",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5951001219",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.