Active NPI
Kenneth S Yun, M.D.
- Urology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DR.0053210
- Practice address
- 2045 Franklin St
Denver, CO 80205-5437 - Phone
- (303) 338-4545
- NPI assigned
- Jan 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | N7514 | TX | |
| Urology Physician | 208800000X | BP20022571 | TX | |
| Urology Physician | 208800000X | 4935 | WI | |
| Urology Physician | 208800000X | DR.0053210 | CO | Primary |
Addresses
Primary practice location
2045 Franklin St
Denver, CO 80205-5437
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other practice location 1
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280602801 | Medicaid | TX | |
| 280602802 | Medicaid | TX | |
| 1780916833 | Other | TX | BLUE CROSS BLUE SHIELD |
| P01062993 | Other | TX | RAILROAD MEDICARE |
| 01952781 | Medicaid | CO | |
| 024075 | Other | CO | KAISER COMMERCIAL NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WI, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
6350 E 2ND St
Casper, WY 82609-4264
Phone (307) 232-6600
Hospital & facility affiliations
- Marshfield Medical Center
- Memorial Hospital of Converse County
- Summit Medical Center
- Marshfield Medical Center - Neillsville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20022571 | TX | MD | Urology Physician |
| N7514 | TX | MD | Urology Physician |
| 4935 | WI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Summit Memorial Medical Group LLC | Current | Accepting new patients | |
| Trauma and Emergency Subspecialty Surgeons PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Past | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
6500 E 2nd St
Casper, WY 82609
Phone (307) 235-4180
6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 16
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.
-
- General Practice Physician
- Casper, WY
- NPI 1598469462
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Highlands Ranch, CO
- NPI 1740543933
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Clinic/Center
- Chetek, WI
- NPI 1659008605
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Acute Care Hospital
- Casper, WY
- NPI 1609297506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1780916833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 FRANKLIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802055437",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "1000 N OAK AVE",
"address_purpose": "LOCATION",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUN",
"first_name": "KENNETH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-31",
"last_updated": "2025-01-23",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "N7514",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "BP20022571",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "4935",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "DR.0053210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280602801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280602802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1780916833",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01062993",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01952781",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "024075",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "CAREQUALITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2045 Franklin St",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802055437",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.