Kirk Ernest Mitchell, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

DR.0049886 Issued in CO

Practice address

5390 Saint Vrain Rd
Longmont, CO 80503-8764

Phone

(303) 859-9722

Fax

(303) 484-3578

NPI assigned

Oct 10, 2008

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY, CO, ID3 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 3

Specialty

Internal Medicine

Education

George Washington University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compassionate Concierge Physicians LLCGroup PAC ID 4284069378, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Compassionate Concierge Physicians, LLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1003452301

  ID, WY

  Medicare reassignment Care Compare group Authorized official
• Harmony Medical Group, LLC

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1902517626

  Multi-Specialty

  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  WY

  Medicare reassignment
• Compassionate Concierge Physicians, LLC

  • Internal Medicine Physician
  • Longmont, CO
  • NPI 1851074140
  Authorized official Same address or phone
• Portercare Adventist Health System

  dba AdventHealth Medical Group Orthopedics and Spine at Meridian

  • Orthopaedic Surgery Physician
  • Parker, CO
  • NPI 1568071041

  Multi-Specialty

  NPD
• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928

  Multi-Specialty

  NPD
• RFH Colorado, LLC

  • Rheumatology Physician
  • Thornton, CO
  • NPI 1447081229
  NPD
• Rural Physicians Group - Pannu PLLC

  • Hospitalist Physician
  • Brush, CO
  • NPI 1194306340

  Multi-Specialty

  NPD
• Kirk Mitchell MD PA

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1194522730

  Multi-Specialty

  NPD
• Philippe G Lopez MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Greenwood Village, CO
  • NPI 1871526897

  Multi-Specialty

  NPD (past)
• Seasons Hospice & Palliative Care of Colorado LLC

  dba AccentCare Hospice & Palliative Care of Colorado

  • Community Based Hospice Care Agency
  • Westminster, CO
  • NPI 1366816027

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1811149685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 SAINT VRAIN RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038764",
            "telephone_number": "303-859-9722",
            "fax_number": "303-484-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 SAINT VRAIN RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038764",
            "telephone_number": "303-859-9722",
            "fax_number": "303-484-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Tenderfoot Hill Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067393",
            "country_code": "US",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9195 Grant St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294386",
            "country_code": "US",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Indiana St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804015069",
            "country_code": "US",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 S Potomac St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124512",
            "country_code": "US",
            "telephone_number": "720-678-9868",
            "fax_number": "720-678-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIRK",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0049886",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8019A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0049886",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "DR.0049886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08227519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Stewart Mink, R.D.
• Mino Family Health Care, P.C.
• Laura Mischell, DO
• Priya Mistri, LMT
• Jenny Marie Mitchell, PHARMD
• Amanda M Mixon, PA-C
• Amber Miyasaki
• Steven G. Mlodinow, MD
• Lesley Erin Moak, FNP
• Kim Moctezuma

• Geriatric Medicine (Internal Medicine) Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.

Verify at the official NPI Registry.